Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $717.27 / $717.27	Professional		$717.27	$717.27	$717.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.96 / $1,006.26 / $1,207.52	Professional		$786.96	$1,006.26	$1,207.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,065.32 / $1,165.86 / $1,376.46	Professional		$1,065.32	$1,165.86	$1,376.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.51 / $966.01 / $1,127.01	Professional		$885.51	$966.01	$1,127.01
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 $798.37 / $1,006.26 / $1,242.47	Professional		$798.37	$1,006.26	$1,242.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $817.89 / $1,096.28	Professional		$29.27	$817.89	$1,096.28