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 $212.78 / $229.66 / $332.95	Professional		$212.78	$229.66	$332.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $357.11 / $390.04	Professional		$258.64	$357.11	$390.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $319.31 / $389.60 / $475.88	Professional		$319.31	$389.60	$475.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $343.23 / $436.84	Professional		$230.41	$343.23	$436.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $390.04 / $505.29	Professional		$318.27	$390.04	$505.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $1,958.52 / $5,287.00	Professional		$245.92	$1,958.52	$5,287.00