Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,890.45 / $3,890.45	Facility		$1,513.56	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,230.27	Professional		$954.99	$1,000.00	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,148.15	Professional		$933.25	$1,148.15	$1,148.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,778.28	Professional		$1,348.96	$1,479.11	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,258.93	Professional		$933.25	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,479.11	Professional		$933.25	$1,174.90	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,089.30 / $5,370.32	Professional		$870.96	$2,089.30	$5,370.32