Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.87 / $987.87 / $987.87	Professional		$987.87	$987.87	$987.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.02 / $1,125.03 / $1,350.03	Professional		$972.02	$1,125.03	$1,350.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.53 / $1,285.39 / $1,557.15	Professional		$1,174.53	$1,285.39	$1,557.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.02 / $1,080.02 / $1,260.03	Professional		$990.02	$1,080.02	$1,260.03
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 $820.05 / $1,086.83 / $1,435.89	Professional		$820.05	$1,086.83	$1,435.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,076.47 / $3,900.00 / $8,000.00	Professional		$1,076.47	$3,900.00	$8,000.00