Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.34 / $606.34 / $606.34	Professional		$606.34	$606.34	$606.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.28 / $814.43 / $977.31	Professional		$628.28	$814.43	$977.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $846.17 / $926.03 / $1,093.29	Professional		$846.17	$926.03	$1,093.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.69 / $781.85 / $912.16	Professional		$716.69	$781.85	$912.16
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 $644.34 / $814.43 / $1,021.02	Professional		$644.34	$814.43	$1,021.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $672.37 / $2,000.00 / $5,304.00	Professional		$672.37	$2,000.00	$5,304.00