Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $181.97	Professional		$109.65	$134.90	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $204.17	Professional		$112.20	$134.90	$204.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $2,691.53	Professional		$199.53	$257.04	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $218.78	Professional		$128.82	$173.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $234.42	Professional		$138.04	$165.96	$234.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $2,630.27 / $6,165.95	Professional		$158.49	$2,630.27	$6,165.95