Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.48 / $766.30 / $766.30	Professional		$734.48	$766.30	$766.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.21 / $886.05 / $886.05	Professional		$706.21	$886.05	$886.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,013.96 / $1,166.65 / $6,874.20	Professional		$1,013.96	$1,166.65	$6,874.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.72 / $850.61 / $992.38	Professional		$779.72	$850.61	$992.38
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 $723.02 / $886.05 / $1,142.52	Professional		$723.02	$886.05	$1,142.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $632.66 / $952.72	Professional		$29.27	$632.66	$952.72