Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,747.00 / $4,456.00	Facility		$879.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.56 / $620.39 / $2,522.48	Professional		$495.56	$620.39	$2,522.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.00 / $921.56 / $1,105.88	Professional		$752.00	$921.56	$1,105.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $906.38 / $1,048.16 / $1,365.39	Professional		$906.38	$1,048.16	$1,365.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.76 / $810.98 / $921.56	Professional		$643.76	$810.98	$921.56
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 $752.00 / $921.56 / $1,766.18	Professional		$752.00	$921.56	$1,766.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $2,575.00 / $6,124.00	Professional		$607.73	$2,575.00	$6,124.00