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 $391.29 / $444.91 / $453.83	Professional		$391.29	$444.91	$453.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.91 / $517.94 / $644.49	Professional		$437.91	$517.94	$644.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $661.80 / $743.55 / $877.39	Professional		$661.80	$743.55	$877.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.15 / $618.71 / $721.83	Professional		$567.15	$618.71	$721.83
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 $540.99 / $644.49 / $774.26	Professional		$540.99	$644.49	$774.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $606.54 / $2,040.00 / $5,304.00	Professional		$606.54	$2,040.00	$5,304.00