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 $744.71 / $744.71 / $744.71	Professional		$744.71	$744.71	$744.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.35 / $877.83 / $1,053.39	Professional		$678.35	$877.83	$1,053.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $983.84 / $1,105.36 / $3,857.00	Professional		$983.84	$1,105.36	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.49 / $842.71 / $983.16	Professional		$772.49	$842.71	$983.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.31 / $877.83 / $1,105.34	Professional		$716.31	$877.83	$1,105.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $838.11 / $1,491.00	Professional		$29.27	$838.11	$1,491.00