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 $135.15 / $147.88 / $340.31	Professional		$135.15	$147.88	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $170.14 / $264.26	Professional		$144.78	$170.14	$264.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $235.58 / $4,334.00	Professional		$72.06	$235.58	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $232.55 / $295.97	Professional		$163.87	$232.55	$295.97
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 $215.64 / $264.26 / $291.64	Professional		$215.64	$264.26	$291.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $1,981.00 / $5,304.00	Professional		$181.82	$1,981.00	$5,304.00