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 $771.30 / $913.05 / $913.05	Professional		$771.30	$913.05	$913.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.31 / $1,550.24 / $1,550.24	Professional		$999.31	$1,550.24	$1,550.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,581.44 / $1,730.72 / $2,096.62	Professional		$1,581.44	$1,730.72	$2,096.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.21 / $1,488.23 / $1,736.27	Professional		$1,364.21	$1,488.23	$1,736.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.99 / $1,550.24 / $1,925.60	Professional		$1,264.99	$1,550.24	$1,925.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,209.70 / $1,687.74	Professional		$29.27	$1,209.70	$1,687.74