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 $69.18 / $158.49 / $346.74	Professional		$69.18	$158.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $213.80 / $524.81	Professional		$83.18	$213.80	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $371.54	Professional		$120.23	$141.25	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $269.15 / $380.19	Professional		$79.43	$269.15	$380.19
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 $72.44 / $169.82 / $302.00	Professional		$72.44	$169.82	$302.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $316.23	Professional		$39.81	$97.72	$316.23