Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $229.09	Professional		$141.25	$154.88	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $616.60	Professional		$158.49	$208.93	$616.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $4,365.16	Professional		$234.42	$275.42	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $199.53	Professional		$134.90	$162.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $263.03	Professional		$144.54	$194.98	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $181.97 / $204.17	Professional		$25.70	$181.97	$204.17