Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.75 / $767.75 / $767.75	Professional		$767.75	$767.75	$767.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.94 / $974.88 / $1,169.84	Professional		$753.94	$974.88	$1,169.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $995.04 / $1,117.95 / $5,851.00	Professional		$995.04	$1,117.95	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.89 / $935.88 / $1,091.85	Professional		$857.89	$935.88	$1,091.85
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 $741.26 / $974.88 / $1,175.67	Professional		$741.26	$974.88	$1,175.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $764.23 / $991.92	Professional		$29.27	$764.23	$991.92