Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.31 / $740.82 / $912.09	Professional		$691.31	$740.82	$912.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,088.40 / $1,088.40 / $1,088.40	Facility		$1,088.40	$1,088.40	$1,088.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.71 / $957.63 / $1,763.48	Professional		$774.71	$957.63	$1,763.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,048.42 / $1,177.94 / $1,354.63	Professional		$1,048.42	$1,177.94	$1,354.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.95 / $941.83 / $1,098.80	Professional		$831.95	$941.83	$1,098.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.83 / $981.08 / $1,325.15	Professional		$704.83	$981.08	$1,325.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.46 / $2,040.00 / $5,304.00	Professional		$716.46	$2,040.00	$5,304.00