Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.39 / $708.34 / $1,245.41	Professional		$666.39	$708.34	$1,245.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.77 / $984.04 / $1,180.84	Professional		$759.77	$984.04	$1,180.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,030.05 / $1,157.29 / $5,851.00	Professional		$1,030.05	$1,157.29	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.95 / $944.68 / $1,102.11	Professional		$865.95	$944.68	$1,102.11
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 $802.97 / $984.04 / $1,239.57	Professional		$802.97	$984.04	$1,239.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $936.78 / $3,900.00 / $8,000.00	Professional		$936.78	$3,900.00	$8,000.00