Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.91 / $702.91 / $702.91	Professional		$702.91	$702.91	$702.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.95 / $935.66 / $1,122.80	Professional		$743.95	$935.66	$1,122.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,009.83 / $1,105.14 / $1,304.76	Professional		$1,009.83	$1,105.14	$1,304.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $898.24 / $1,047.94	Professional		$823.38	$898.24	$1,047.94
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 $763.50 / $935.66 / $1,143.30	Professional		$763.50	$935.66	$1,143.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $835.07 / $2,575.00 / $6,124.00	Professional		$835.07	$2,575.00	$6,124.00