Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.35 / $828.35 / $828.35	Professional		$828.35	$828.35	$828.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.43 / $1,104.46 / $1,325.36	Professional		$852.43	$1,104.46	$1,325.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,147.99 / $1,289.80 / $3,857.00	Professional		$1,147.99	$1,289.80	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.93 / $1,060.28 / $1,237.00	Professional		$971.93	$1,060.28	$1,237.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.49 / $1,104.46 / $1,386.92	Professional		$866.49	$1,104.46	$1,386.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $784.49 / $1,181.34	Professional		$29.27	$784.49	$1,181.34