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 $630.96 / $741.31 / $1,230.27	Professional		$630.96	$741.31	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Professional		$912.01	$912.01	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,698.24	Professional		$1,202.26	$1,348.96	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,230.27	Professional		$758.58	$1,047.13	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,412.54	Professional		$660.69	$1,000.00	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,041.74 / $5,370.32	Professional		$812.83	$2,041.74	$5,370.32