Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $5,495.41	Facility		$1,949.84	$5,495.41	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,023.29	Professional		$707.95	$831.76	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,023.29	Professional		$794.33	$977.24	$1,023.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,445.44	Professional		$1,096.48	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,096.48	Professional		$794.33	$870.96	$1,096.48
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 $831.76 / $1,000.00 / $1,318.26	Professional		$831.76	$1,000.00	$1,318.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $741.31 / $1,380.38	Professional		$29.51	$741.31	$1,380.38