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 $585.95 / $585.95 / $585.95	Professional		$585.95	$585.95	$585.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.64 / $788.80 / $946.56	Professional		$607.64	$788.80	$946.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $818.05 / $919.10 / $5,851.00	Professional		$818.05	$919.10	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $757.25 / $883.46	Professional		$694.14	$757.25	$883.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.38 / $788.80 / $984.59	Professional		$614.38	$788.80	$984.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $2,575.00 / $6,124.00	Professional		$565.25	$2,575.00	$6,124.00