Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.41 / $367.41 / $368.48	Professional		$367.41	$367.41	$368.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.85 / $460.95 / $460.95	Professional		$357.85	$460.95	$460.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $490.49 / $564.35 / $6,874.20	Professional		$490.49	$564.35	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.64 / $442.51 / $516.26	Professional		$405.64	$442.51	$516.26
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 $376.14 / $460.95 / $591.12	Professional		$376.14	$460.95	$591.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $449.54 / $5,885.00	Professional		$29.27	$449.54	$5,885.00