Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $445.04 / $1,894.00	Professional		$368.44	$445.04	$1,894.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.85 / $529.74 / $635.69	Professional		$408.85	$529.74	$635.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $580.33 / $667.72 / $818.82	Professional		$580.33	$667.72	$818.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $508.55 / $593.30	Professional		$466.17	$508.55	$593.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $529.74 / $670.10	Professional		$432.27	$529.74	$670.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.06 / $2,465.42 / $4,035.20	Professional		$362.06	$2,465.42	$4,035.20