Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $997.31 / $997.31	Professional		$830.23	$997.31	$997.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.01 / $1,329.63 / $1,329.63	Professional		$1,078.01	$1,329.63	$1,329.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,419.81 / $1,553.82 / $1,882.32	Professional		$1,419.81	$1,553.82	$1,882.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.07 / $1,276.44 / $1,489.18	Professional		$1,170.07	$1,276.44	$1,489.18
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 $1,084.97 / $1,329.63 / $1,707.21	Professional		$1,084.97	$1,329.63	$1,707.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,301.26 / $1,875.80	Professional		$29.27	$1,301.26	$1,875.80