Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.66 / $299.17 / $347.17	Professional		$254.66	$299.17	$347.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.58 / $1,244.58 / $1,244.58	Facility		$1,244.58	$1,244.58	$1,244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $381.15 / $605.13	Professional		$308.00	$381.15	$605.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $427.35 / $480.15 / $552.16	Professional		$427.35	$480.15	$552.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $313.69 / $365.97	Professional		$287.55	$313.69	$365.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $333.68 / $485.34	Professional		$266.64	$333.68	$485.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $352.96 / $2,582.96 / $6,124.00	Professional		$352.96	$2,582.96	$6,124.00