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 $138.04 / $416.87 / $1,047.13	Professional		$138.04	$416.87	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $524.81 / $1,122.02	Professional		$154.88	$524.81	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,445.44 / $2,570.40	Professional		$239.88	$1,445.44	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $724.44 / $891.25	Professional		$138.04	$724.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $707.95 / $1,412.54	Professional		$204.17	$707.95	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $676.08 / $1,318.26	Professional		$125.89	$676.08	$1,318.26