Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $4,456.00	Facility		$1,758.00	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.01 / $721.01 / $721.01	Professional		$721.01	$721.01	$721.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.67 / $941.13 / $1,129.34	Professional		$725.67	$941.13	$1,129.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $976.49 / $1,068.66 / $1,261.68	Professional		$976.49	$1,068.66	$1,261.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.19 / $903.48 / $1,054.06	Professional		$828.19	$903.48	$1,054.06
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 $697.65 / $941.13 / $1,180.34	Professional		$697.65	$941.13	$1,180.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $843.54 / $1,156.54	Professional		$29.27	$843.54	$1,156.54