Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.88 / $556.88 / $810.00	Professional		$556.88	$556.88	$810.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.27 / $900.78 / $1,080.93	Professional		$778.27	$900.78	$1,080.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $787.88 / $931.67 / $3,857.00	Professional		$787.88	$931.67	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.92 / $755.36 / $900.78	Professional		$553.92	$755.36	$900.78
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 $655.28 / $866.31 / $1,172.08	Professional		$655.28	$866.31	$1,172.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $619.95 / $993.86	Professional		$124.23	$619.95	$993.86