Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $239.88	Professional		$144.54	$181.97	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $239.88	Professional		$162.18	$177.83	$239.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $309.03	Professional		$229.09	$251.19	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $223.87	Professional		$158.49	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $288.40	Professional		$147.91	$213.80	$288.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,089.30 / $5,370.32	Professional		$213.80	$2,089.30	$5,370.32