Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,023.29 / $1,513.56	Professional		$323.59	$1,023.29	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,258.93 / $1,698.24	Professional		$436.52	$1,258.93	$1,698.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $7,413.10	Professional		$501.19	$660.69	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,071.52 / $1,348.96	Professional		$263.03	$1,071.52	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,023.29 / $2,137.96	Professional		$338.84	$1,023.29	$2,137.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $9,120.11 / $14,125.38	Professional		$354.81	$9,120.11	$14,125.38