Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.47 / $996.07 / $1,483.30	Professional		$928.47	$996.07	$1,483.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.02 / $1,193.23 / $1,193.23	Professional		$959.02	$1,193.23	$1,193.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,396.82 / $1,607.17 / $8,902.00	Professional		$1,396.82	$1,607.17	$8,902.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.04 / $1,145.50 / $1,336.41	Professional		$1,050.04	$1,145.50	$1,336.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.67 / $1,193.23 / $1,546.59	Professional		$973.67	$1,193.23	$1,546.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $854.20 / $2,582.96 / $6,124.00	Professional		$854.20	$2,582.96	$6,124.00