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 $162.59 / $182.66 / $275.77	Professional		$162.59	$182.66	$275.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.37 / $211.74 / $294.83	Professional		$176.37	$211.74	$294.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $274.26 / $315.24 / $5,879.00	Professional		$274.26	$315.24	$5,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $259.45 / $330.20	Professional		$191.98	$259.45	$330.20
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 $240.58 / $294.83 / $338.31	Professional		$240.58	$294.83	$338.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $1,958.52 / $5,287.00	Professional		$196.04	$1,958.52	$5,287.00