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 $552.02 / $808.85 / $11,952.67	Professional		$552.02	$808.85	$11,952.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.71 / $10,652.34 / $11,161.59	Professional		$697.71	$10,652.34	$11,161.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,058.39 / $1,310.52 / $10,394.00	Professional		$1,058.39	$1,310.52	$10,394.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.23 / $9,822.20 / $11,161.59	Professional		$635.23	$9,822.20	$11,161.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,107.86 / $11,686.68 / $16,826.90	Professional		$9,107.86	$11,686.68	$16,826.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $726.43 / $14,841.00	Professional		$90.80	$726.43	$14,841.00