Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.50 / $1,116.50 / $1,116.50	Professional		$1,116.50	$1,116.50	$1,116.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.43 / $1,262.08 / $1,514.49	Professional		$1,090.43	$1,262.08	$1,514.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,329.95 / $1,494.24 / $10,901.00	Professional		$1,329.95	$1,494.24	$10,901.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.63 / $1,211.58 / $1,413.52	Professional		$1,110.63	$1,211.58	$1,413.52
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 $919.21 / $1,225.81 / $1,600.47	Professional		$919.21	$1,225.81	$1,600.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $952.53 / $3,692.19 / $9,324.00	Professional		$952.53	$3,692.19	$9,324.00