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 $280.69 / $349.66 / $1,578.08	Professional		$280.69	$349.66	$1,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.35 / $1,814.18 / $1,991.65	Professional		$364.35	$1,814.18	$1,991.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $452.60 / $535.20 / $9,552.00	Professional		$452.60	$535.20	$9,552.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.94 / $1,752.65 / $1,991.65	Professional		$334.94	$1,752.65	$1,991.65
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 $1,625.19 / $1,991.65 / $2,758.23	Professional		$1,625.19	$1,991.65	$2,758.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $256.47 / $383.20 / $2,394.73	Professional		$256.47	$383.20	$2,394.73