Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.10 / $683.10 / $683.10	Professional		$683.10	$683.10	$683.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.53 / $889.68 / $1,067.60	Professional		$685.53	$889.68	$1,067.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $920.90 / $975.07 / $1,121.33	Professional		$920.90	$975.07	$1,121.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $854.09 / $996.44	Professional		$782.91	$854.09	$996.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.60 / $889.68 / $1,110.59	Professional		$667.60	$889.68	$1,110.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $776.06 / $947.66	Professional		$118.46	$776.06	$947.66