Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,621.81	Professional		$977.24	$1,096.48	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $4,168.69	Professional		$1,096.48	$1,318.26	$4,168.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $1,905.46	Professional		$1,445.44	$1,621.81	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,548.82	Professional		$1,023.29	$1,230.27	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,778.28	Professional		$977.24	$1,348.96	$1,778.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $977.24 / $1,513.56	Professional		$29.51	$977.24	$1,513.56