Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.74 / $646.74 / $646.74	Professional		$646.74	$646.74	$646.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.23 / $837.93 / $1,005.51	Professional		$646.23	$837.93	$1,005.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $870.26 / $952.41 / $1,124.44	Professional		$870.26	$952.41	$1,124.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.37 / $804.41 / $938.48	Professional		$737.37	$804.41	$938.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.53 / $837.93 / $1,049.19	Professional		$655.53	$837.93	$1,049.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $667.44 / $2,575.00 / $6,124.00	Professional		$667.44	$2,575.00	$6,124.00