Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $531.00 / $1,244.11	Professional		$108.17	$531.00	$1,244.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.68 / $1,004.74 / $1,621.91	Professional		$272.68	$1,004.74	$1,621.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $342.54 / $424.14 / $1,758.11	Professional		$342.54	$424.14	$1,758.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.28 / $1,427.28 / $1,816.54	Professional		$232.28	$1,427.28	$1,816.54
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 $1,319.95 / $1,621.91 / $1,892.06	Professional		$1,319.95	$1,621.91	$1,892.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $290.36 / $3,504.36 / $5,401.00	Professional		$290.36	$3,504.36	$5,401.00