Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.02 / $793.07 / $983.27	Professional		$746.02	$793.07	$983.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,537.42 / $1,537.42 / $1,537.42	Facility		$1,537.42	$1,537.42	$1,537.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.80 / $1,032.29 / $1,894.49	Professional		$857.80	$1,032.29	$1,894.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,124.80 / $1,263.74 / $1,453.30	Professional		$1,124.80	$1,263.74	$1,453.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.38 / $991.00 / $1,156.16	Professional		$875.38	$991.00	$1,156.16
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 $769.14 / $1,032.29 / $1,789.15	Professional		$769.14	$1,032.29	$1,789.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,004.75 / $3,900.00 / $8,000.00	Professional		$1,004.75	$3,900.00	$8,000.00