Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.61 / $538.61 / $538.61	Professional		$538.61	$538.61	$538.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.62 / $731.38 / $877.65	Professional		$563.62	$731.38	$877.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $757.95 / $829.49 / $979.31	Professional		$757.95	$829.49	$979.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.61 / $702.12 / $819.14	Professional		$643.61	$702.12	$819.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.83 / $731.38 / $910.97	Professional		$567.83	$731.38	$910.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $581.15 / $2,000.00 / $5,304.00	Professional		$581.15	$2,000.00	$5,304.00