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 $612.58 / $663.48 / $867.49	Professional		$612.58	$663.48	$867.49
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 $685.30 / $897.91 / $1,814.89	Professional		$685.30	$897.91	$1,814.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $959.43 / $1,077.95 / $1,239.64	Professional		$959.43	$1,077.95	$1,239.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.43 / $862.00 / $1,005.66	Professional		$761.43	$862.00	$1,005.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.46 / $897.91 / $1,218.23	Professional		$662.46	$897.91	$1,218.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $3,900.00 / $8,000.00	Professional		$879.33	$3,900.00	$8,000.00