Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $257.62 / $513.75	Professional		$30.11	$257.62	$513.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.49 / $295.76 / $394.73	Professional		$186.49	$295.76	$394.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $288.27 / $463.37	Professional		$232.82	$288.27	$463.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $347.36 / $442.09	Professional		$162.57	$347.36	$442.09
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 $322.10 / $394.73 / $481.89	Professional		$322.10	$394.73	$481.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $3,502.00 / $9,325.00	Professional		$162.97	$3,502.00	$9,325.00