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 $651.07 / $682.90 / $682.90	Professional		$651.07	$682.90	$682.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.71 / $789.45 / $789.45	Professional		$625.71	$789.45	$789.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $907.09 / $1,019.14 / $1,202.58	Professional		$907.09	$1,019.14	$1,202.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.72 / $757.87 / $884.18	Professional		$694.72	$757.87	$884.18
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 $644.19 / $789.45 / $1,013.27	Professional		$644.19	$789.45	$1,013.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.23 / $2,000.00 / $5,304.00	Professional		$562.23	$2,000.00	$5,304.00