Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,734.00 / $3,734.00 / $3,734.00	Facility	50	$3,734.00	$3,734.00	$3,734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.41 / $391.08 / $625.47	Professional		$223.41	$391.08	$625.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.03 / $547.39 / $547.39	Professional		$434.03	$547.39	$547.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $578.14 / $665.21 / $6,874.20	Professional		$578.14	$665.21	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $481.70 / $525.49 / $613.07	Professional		$481.70	$525.49	$613.07
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 $446.67 / $547.39 / $697.34	Professional		$446.67	$547.39	$697.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $2,099.00 / $5,304.00	Professional		$590.41	$2,099.00	$5,304.00