Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $502.72 / $502.72	Professional		$498.26	$502.72	$502.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $615.45 / $615.45	Professional		$488.65	$615.45	$615.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $705.93 / $812.24 / $6,874.20	Professional		$705.93	$812.24	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.60 / $590.83 / $689.30	Professional		$541.60	$590.83	$689.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.21 / $615.45 / $790.59	Professional		$502.21	$615.45	$790.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $587.19 / $3,900.00 / $8,000.00	Professional		$587.19	$3,900.00	$8,000.00