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 $141.25 / $223.87 / $380.19	Professional		$141.25	$223.87	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $309.03	Professional		$269.15	$269.15	$309.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $4,677.35	Professional		$251.19	$309.03	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $338.84	Professional		$147.91	$263.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $389.05	Professional		$158.49	$257.04	$389.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $2,951.21 / $5,370.32	Professional		$181.97	$2,951.21	$5,370.32