Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.62 / $472.50 / $761.71	Professional		$318.62	$472.50	$761.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.90 / $407.74 / $1,276.84	Professional		$336.90	$407.74	$1,276.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $688.74 / $773.82 / $931.82	Professional		$688.74	$773.82	$931.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.77 / $385.93 / $450.25	Professional		$353.77	$385.93	$450.25
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 $328.04 / $402.01 / $537.70	Professional		$328.04	$402.01	$537.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $2,370.61 / $3,956.00	Professional		$286.23	$2,370.61	$3,956.00