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 $588.89 / $588.89 / $743.84	Professional		$588.89	$588.89	$743.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.22 / $904.56 / $1,085.48	Professional		$697.22	$904.56	$1,085.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $964.06 / $1,108.10 / $1,274.33	Professional		$964.06	$1,108.10	$1,274.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.02 / $868.38 / $1,013.11	Professional		$796.02	$868.38	$1,013.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.12 / $904.56 / $1,181.00	Professional		$738.12	$904.56	$1,181.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $644.32 / $2,500.00 / $6,063.00	Professional		$644.32	$2,500.00	$6,063.00