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 $229.90 / $275.70 / $394.42	Professional		$229.90	$275.70	$394.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.61 / $375.69 / $426.40	Professional		$294.61	$375.69	$426.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $403.73 / $477.41 / $539.73	Professional		$403.73	$477.41	$539.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.52 / $375.23 / $477.57	Professional		$277.52	$375.23	$477.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $426.40 / $547.89	Professional		$370.50	$426.40	$547.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $341.82 / $2,000.00 / $5,304.00	Professional		$341.82	$2,000.00	$5,304.00