Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.57 / $606.57 / $606.57	Professional		$606.57	$606.57	$606.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.67 / $1,051.33 / $1,261.60	Professional		$745.67	$1,051.33	$1,261.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,012.79 / $1,108.39 / $1,308.58	Professional		$1,012.79	$1,108.39	$1,308.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.18 / $1,009.28 / $1,177.50	Professional		$925.18	$1,009.28	$1,177.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.82 / $1,051.33 / $1,307.93	Professional		$720.82	$1,051.33	$1,307.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $636.91 / $2,000.00 / $5,304.00	Professional		$636.91	$2,000.00	$5,304.00