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 $627.37 / $627.37 / $627.37	Professional		$627.37	$627.37	$627.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $710.93 / $853.11	Professional		$556.37	$710.93	$853.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $769.11 / $841.70 / $993.73	Professional		$769.11	$841.70	$993.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.61 / $682.49 / $796.24	Professional		$625.61	$682.49	$796.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.11 / $710.93 / $942.29	Professional		$580.11	$710.93	$942.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $671.11 / $2,000.00 / $5,304.00	Professional		$671.11	$2,000.00	$5,304.00