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 Professional Modifier Low / Median / High Price $165.96 / $275.42 / $588.84	Professional		$165.96	$275.42	$588.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $389.05 / $467.74 / $467.74	Professional	50	$389.05	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $380.19	Professional		$162.18	$263.03	$380.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $7,079.46	Professional		$263.03	$346.74	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $354.81	Professional		$151.36	$281.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $389.05	Professional		$204.17	$281.84	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,089.30 / $5,370.32	Professional		$213.80	$2,089.30	$5,370.32