Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,818.38 / $2,884.03	Facility		$501.19	$2,818.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $380.19	Professional		$218.78	$263.03	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $2,570.40	Professional		$371.54	$436.52	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $457.09	Professional		$302.00	$354.81	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $398.11	Professional		$204.17	$302.00	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $309.03 / $660.69	Professional		$47.86	$309.03	$660.69