Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.53 / $1,259.48 / $4,251.00	Professional		$1,140.53	$1,259.48	$4,251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.06 / $1,656.34 / $1,656.34	Professional		$1,393.06	$1,656.34	$1,656.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,350.01 / $1,551.73 / $1,748.64	Professional		$1,350.01	$1,551.73	$1,748.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,457.58 / $1,590.08 / $1,855.10	Professional		$1,457.58	$1,590.08	$1,855.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.57 / $1,656.34 / $2,124.06	Professional		$1,351.57	$1,656.34	$2,124.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $1,530.74 / $1,806.68	Professional		$225.84	$1,530.74	$1,806.68