Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,918.31 / $19,054.61	Facility		$2,818.38	$6,918.31	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $8,128.31	Professional		$1,202.26	$1,479.11	$8,128.31
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $147.91 / $977.24 / $1,023.29	Professional	AS	$147.91	$977.24	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,737.80	Professional		$1,230.27	$1,548.82	$1,737.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $13,182.57	Professional		$1,995.26	$2,041.74	$13,182.57
HMSA Facility/Professional Professional Modifier AS Low / Median / High Price $323.59 / $354.81 / $398.11	Professional	AS	$323.59	$354.81	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,737.80	Professional		$1,230.27	$1,380.38	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,137.96	Professional		$1,071.52	$1,584.89	$2,137.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $10,232.93 / $14,125.38	Professional		$1,584.89	$10,232.93	$14,125.38