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 $125.89 / $229.09 / $398.11	Professional		$125.89	$229.09	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $676.08	Professional		$141.25	$275.42	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $489.78	Professional		$218.78	$251.19	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $457.09	Professional		$147.91	$323.59	$457.09
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 $131.83 / $239.88 / $371.54	Professional		$131.83	$239.88	$371.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $257.04 / $5,248.07	Professional		$48.98	$257.04	$5,248.07