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 $165.96 / $363.08 / $512.86	Professional		$165.96	$363.08	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $478.63	Professional		$162.18	$371.54	$478.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $4,570.88	Professional		$263.03	$354.81	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $467.74	Professional		$158.49	$371.54	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $645.65	Professional		$204.17	$371.54	$645.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $288.40 / $549.54	Professional		$69.18	$288.40	$549.54