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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.77 / $1,029.13 / $1,234.95	Professional		$839.77	$1,029.13	$1,234.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,085.09 / $1,221.44 / $6,874.20	Professional		$1,085.09	$1,221.44	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.49 / $905.63 / $1,029.13	Professional		$769.49	$905.63	$1,029.13
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 $839.77 / $1,029.13 / $2,104.32	Professional		$839.77	$1,029.13	$2,104.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $734.25 / $2,000.00 / $5,304.00	Professional		$734.25	$2,000.00	$5,304.00