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 $267.32 / $280.11 / $380.74	Professional		$267.32	$280.11	$380.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $310.14 / $323.12	Professional		$258.33	$310.14	$323.12
HMSA Facility/Professional Professional Modifier Low / Median / High Price $508.03 / $600.74 / $1,265.24	Professional		$508.03	$600.74	$1,265.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $297.74 / $347.37	Professional		$272.93	$297.74	$347.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.08 / $320.49 / $414.57	Professional		$253.08	$320.49	$414.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.04 / $1,981.00 / $5,287.00	Professional		$281.04	$1,981.00	$5,287.00