Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $193.70 / $2,041.40	Professional		$150.84	$193.70	$2,041.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.98 / $2,628.61 / $2,994.21	Professional		$228.98	$2,628.61	$2,994.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $323.12 / $376.45 / $4,003.55	Professional		$323.12	$376.45	$4,003.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.75 / $2,634.91 / $3,353.52	Professional		$218.75	$2,634.91	$3,353.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,443.28 / $2,994.21 / $4,756.58	Professional		$2,443.28	$2,994.21	$4,756.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $256.33 / $3,409.10	Professional		$29.27	$256.33	$3,409.10