Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $5,484.00 / $6,718.00	Facility		$1,924.00	$5,484.00	$6,718.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $388.43 / $4,014.94	Professional		$230.93	$388.43	$4,014.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.52 / $4,061.28 / $4,253.52	Professional		$295.52	$4,061.28	$4,253.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.97 / $459.55 / $5,953.83	Professional		$398.97	$459.55	$5,953.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.10 / $3,573.92 / $4,548.63	Professional		$275.10	$3,573.92	$4,548.63
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 $3,314.00 / $4,311.58 / $6,273.26	Professional		$3,314.00	$4,311.58	$6,273.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.09 / $342.19 / $4,905.78	Professional		$250.09	$342.19	$4,905.78