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 $254.12 / $376.81 / $739.98	Professional		$254.12	$376.81	$739.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.56 / $569.00 / $682.80	Professional		$442.56	$569.00	$682.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $546.10 / $704.20	Professional		$461.96	$546.10	$704.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.65 / $482.51 / $569.00	Professional		$330.65	$482.51	$569.00
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 $420.00 / $568.20 / $741.08	Professional		$420.00	$568.20	$741.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $1,958.52 / $5,287.00	Professional		$386.77	$1,958.52	$5,287.00