Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $201.24 / $270.45	Professional		$146.59	$201.24	$270.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $293.27 / $322.85	Professional		$192.11	$293.27	$322.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $296.38 / $405.42	Professional		$250.64	$296.38	$405.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $284.11 / $361.59	Professional		$174.55	$284.11	$361.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $322.85 / $413.13	Professional		$263.45	$322.85	$413.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.88 / $1,402.00 / $3,725.00	Professional		$213.88	$1,402.00	$3,725.00