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 $416.93 / $625.76 / $1,052.81	Professional		$416.93	$625.76	$1,052.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.23 / $808.14 / $969.77	Professional		$698.23	$808.14	$969.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $840.95 / $3,857.00	Professional		$715.00	$840.95	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $700.50 / $808.14	Professional		$513.70	$700.50	$808.14
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 $575.38 / $775.60 / $1,026.48	Professional		$575.38	$775.60	$1,026.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $554.87 / $3,098.10 / $8,000.00	Professional		$554.87	$3,098.10	$8,000.00