Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.77 / $777.77 / $777.77	Professional		$777.77	$777.77	$777.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.18 / $1,006.98 / $1,208.36	Professional		$778.18	$1,006.98	$1,208.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,049.24 / $1,148.27 / $1,355.68	Professional		$1,049.24	$1,148.27	$1,355.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.14 / $966.70 / $1,127.81	Professional		$886.14	$966.70	$1,127.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.63 / $1,006.98 / $1,270.92	Professional		$796.63	$1,006.98	$1,270.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $811.39 / $1,079.73	Professional		$29.27	$811.39	$1,079.73