Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.31 / $997.07 / $1,271.27	Professional		$975.31	$997.07	$1,271.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.74 / $1,749.74 / $1,749.74	Facility		$1,749.74	$1,749.74	$1,749.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.97 / $1,356.03 / $2,551.98	Professional		$1,092.97	$1,356.03	$2,551.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,430.80 / $1,607.54 / $1,935.78	Professional		$1,430.80	$1,607.54	$1,935.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.91 / $1,301.78 / $1,518.75	Professional		$1,149.91	$1,301.78	$1,518.75
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 $982.70 / $1,356.03 / $1,779.44	Professional		$982.70	$1,356.03	$1,779.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,079.30 / $3,692.19 / $9,324.00	Professional		$1,079.30	$3,692.19	$9,324.00