Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.86 / $914.86 / $914.86	Professional		$914.86	$914.86	$914.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.42 / $1,156.03 / $1,387.23	Professional		$897.42	$1,156.03	$1,387.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,215.70 / $1,365.88 / $1,588.24	Professional		$1,215.70	$1,365.88	$1,588.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.30 / $1,109.78 / $1,294.75	Professional		$1,017.30	$1,109.78	$1,294.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.95 / $1,156.03 / $1,487.88	Professional		$931.95	$1,156.03	$1,487.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $826.91 / $1,517.35	Professional		$29.27	$826.91	$1,517.35