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 $422.31 / $422.31 / $422.31	Professional		$422.31	$422.31	$422.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.12 / $652.42 / $782.91	Professional		$503.12	$652.42	$782.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.40 / $740.25 / $873.95	Professional		$676.40	$740.25	$873.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.13 / $626.33 / $730.72	Professional		$574.13	$626.33	$730.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.25 / $652.42 / $796.01	Professional		$489.25	$652.42	$796.01
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $462.23 / $2,000.00 / $5,304.00	Professional		$462.23	$2,000.00	$5,304.00