Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility	50	$3,890.45	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $467.74	Professional		$190.55	$323.59	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $2,290.87 / $2,290.87	Professional	50	$354.81	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $501.19	Professional		$380.19	$457.09	$501.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $6,025.60 / $8,317.64	Professional		$630.96	$6,025.60	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $389.05	Professional		$169.82	$316.23	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $501.19	Professional		$229.09	$338.84	$501.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $2,041.74 / $5,370.32	Professional		$239.88	$2,041.74	$5,370.32