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 $182.15 / $756.92 / $1,318.72	Professional		$182.15	$756.92	$1,318.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $868.77 / $995.08	Professional		$207.76	$868.77	$995.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $367.23 / $1,351.80	Professional		$310.55	$367.23	$1,351.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $875.67 / $1,114.48	Professional		$213.77	$875.67	$1,114.48
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 $811.98 / $995.08 / $1,303.38	Professional		$811.98	$995.08	$1,303.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $262.93 / $1,981.00 / $5,287.00	Professional		$262.93	$1,981.00	$5,287.00