Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,348.96	Professional		$891.25	$1,000.00	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,348.96	Professional		$954.99	$1,096.48	$1,348.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,698.24	Professional		$1,288.25	$1,412.54	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,348.96	Professional		$954.99	$1,096.48	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,548.82	Professional		$776.25	$1,174.90	$1,548.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $5,623.41 / $11,220.18	Professional		$1,148.15	$5,623.41	$11,220.18