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 $132.36 / $157.43 / $266.83	Professional		$132.36	$157.43	$266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $328.91 / $399.10	Professional		$206.12	$328.91	$399.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $284.89 / $467.69	Professional		$233.06	$284.89	$467.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $351.21 / $446.99	Professional		$163.15	$351.21	$446.99
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 $325.67 / $399.10 / $505.79	Professional		$325.67	$399.10	$505.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.87 / $1,981.00 / $5,304.00	Professional		$198.87	$1,981.00	$5,304.00