Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.94 / $2,396.12 / $3,734.00	Facility		$578.94	$2,396.12	$3,734.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $407.00 / $1,088.40	Professional		$76.84	$407.00	$1,088.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.17 / $395.99 / $688.22	Professional		$170.17	$395.99	$688.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $310.50 / $627.24	Professional		$257.14	$310.50	$627.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $401.15 / $550.59	Professional		$148.88	$401.15	$550.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.36 / $491.60 / $648.97	Professional		$338.36	$491.60	$648.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $2,040.00 / $5,309.00	Professional		$187.68	$2,040.00	$5,309.00