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 $681.39 / $721.92 / $1,258.17	Professional		$681.39	$721.92	$1,258.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.22 / $999.05 / $1,198.85	Professional		$815.22	$999.05	$1,198.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,062.53 / $1,193.79 / $4,765.00	Professional		$1,062.53	$1,193.79	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.16 / $959.09 / $1,118.94	Professional		$879.16	$959.09	$1,118.94
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 $815.22 / $999.05 / $2,119.23	Professional		$815.22	$999.05	$2,119.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $734.12 / $2,099.00 / $5,304.00	Professional		$734.12	$2,099.00	$5,304.00