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 $288.40 / $1,096.48 / $2,398.83	Professional		$288.40	$1,096.48	$2,398.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $2,344.23 / $6,760.83	Professional	50	$489.78	$2,344.23	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $3,019.95	Professional		$389.05	$724.44	$3,019.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $11,220.18	Professional		$512.86	$616.60	$11,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,137.96 / $2,630.27	Professional		$309.03	$2,137.96	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,258.93 / $2,511.89	Professional		$407.38	$1,258.93	$2,511.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $416.87 / $9,549.93	Professional		$275.42	$416.87	$9,549.93