Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.64 / $516.64 / $516.64	Professional		$516.64	$516.64	$516.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.68 / $655.28 / $786.33	Professional		$504.68	$655.28	$786.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $686.68 / $771.51 / $5,851.00	Professional		$686.68	$771.51	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.64 / $629.05 / $733.91	Professional		$576.64	$629.05	$733.91
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 $534.70 / $655.28 / $809.09	Professional		$534.70	$655.28	$809.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $2,582.96 / $6,124.00	Professional		$609.54	$2,582.96	$6,124.00