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 $281.84 / $436.52 / $645.65	Professional		$281.84	$436.52	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $575.44	Professional		$269.15	$416.87	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $4,570.88	Professional		$436.52	$602.56	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $602.56	Professional		$263.03	$489.78	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,041.74 / $5,370.32	Professional		$354.81	$2,041.74	$5,370.32