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 / $416.87 / $660.69	Professional		$165.96	$416.87	$660.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	50	$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $512.86 / $676.08	Professional		$181.97	$512.86	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $7,762.47	Professional		$288.40	$338.84	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $562.34 / $707.95	Professional		$169.82	$562.34	$707.95
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 $234.42 / $562.34 / $776.25	Professional		$234.42	$562.34	$776.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $776.25	Professional		$97.72	$239.88	$776.25