Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.72 / $1,098.05 / $1,098.05	Professional		$1,041.72	$1,098.05	$1,098.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.25 / $1,255.05 / $1,256.56	Professional		$1,002.25	$1,255.05	$1,256.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,418.28 / $1,631.85 / $6,874.20	Professional		$1,418.28	$1,631.85	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.44 / $1,204.84 / $1,405.66	Professional		$1,104.44	$1,204.84	$1,405.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.11 / $1,255.05 / $1,620.00	Professional		$1,024.11	$1,255.05	$1,620.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $992.92 / $1,527.52	Professional		$29.27	$992.92	$1,527.52