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 $724.53 / $724.53 / $724.53	Professional		$724.53	$724.53	$724.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.48 / $825.79 / $990.95	Professional		$713.48	$825.79	$990.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $856.05 / $936.86 / $1,134.92	Professional		$856.05	$936.86	$1,134.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.69 / $792.76 / $924.88	Professional		$726.69	$792.76	$924.88
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 $606.01 / $798.49 / $1,051.83	Professional		$606.01	$798.49	$1,051.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $784.58 / $3,900.00 / $8,000.00	Professional		$784.58	$3,900.00	$8,000.00