Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $754.96 / $754.96	Professional		$754.96	$754.96	$754.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.94 / $877.93 / $1,053.51	Professional		$687.94	$877.93	$1,053.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $941.24 / $1,057.51 / $3,857.00	Professional		$941.24	$1,057.51	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.57 / $842.81 / $983.28	Professional		$772.57	$842.81	$983.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.39 / $877.93 / $1,084.07	Professional		$716.39	$877.93	$1,084.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.77 / $3,191.04 / $8,000.00	Professional		$851.77	$3,191.04	$8,000.00