Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,230.27	Professional		$660.69	$812.83	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,288.25	Professional		$851.14	$933.25	$1,288.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,548.82	Professional		$1,230.27	$1,380.38	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,348.96	Professional		$794.33	$1,047.13	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,148.15	Professional		$588.84	$933.25	$1,148.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,047.13	Professional		$691.83	$870.96	$1,047.13