Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $6,084.00 / $7,424.00	Facility		$2,528.00	$6,084.00	$7,424.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.25 / $845.25 / $856.96	Professional		$845.25	$845.25	$856.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.50 / $1,056.25 / $1,056.25	Professional		$834.50	$1,056.25	$1,056.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,132.04 / $1,271.88 / $1,500.82	Professional		$1,132.04	$1,271.88	$1,500.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.50 / $1,014.00 / $1,183.00	Professional		$929.50	$1,014.00	$1,183.00
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 $861.90 / $1,056.25 / $1,372.71	Professional		$861.90	$1,056.25	$1,372.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,037.53 / $5,885.00	Professional		$29.27	$1,037.53	$5,885.00