Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.24 / $779.93 / $3,286.61	Professional		$726.24	$779.93	$3,286.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.88 / $981.33 / $981.33	Professional		$755.88	$981.33	$981.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,092.25 / $1,256.73 / $25,179.30	Professional		$1,092.25	$1,256.73	$25,179.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.57 / $942.07 / $1,099.08	Professional		$863.57	$942.07	$1,099.08
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 $800.76 / $981.33 / $1,236.66	Professional		$800.76	$981.33	$1,236.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $700.77 / $9,437.43 / $12,953.00	Professional		$700.77	$9,437.43	$12,953.00