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 $152.19 / $246.42 / $590.04	Professional		$152.19	$246.42	$590.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $139.72 / $816.67 / $3,630.23	Professional	50	$139.72	$816.67	$3,630.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.34 / $495.48 / $576.26	Professional		$179.34	$495.48	$576.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $297.02 / $845.44	Professional		$239.87	$297.02	$845.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.42 / $436.02 / $554.92	Professional		$167.42	$436.02	$554.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.31 / $546.80 / $772.26	Professional		$404.31	$546.80	$772.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.69 / $1,958.52 / $5,287.00	Professional		$208.69	$1,958.52	$5,287.00