Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.76 / $1,219.19 / $1,564.74	Facility		$1,075.76	$1,219.19	$1,564.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $319.11 / $319.11	Professional		$319.11	$319.11	$319.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,564.74 / $1,564.74	Professional		$1,564.74	$1,564.74	$1,564.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $535.90 / $630.47 / $752.63	Professional		$535.90	$630.47	$752.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,955.93	Professional		$1,303.95	$1,564.74	$1,955.93
United Facility/Professional Professional Modifier Low / Median / High Price $602.10 / $1,564.74 / $1,564.74	Professional		$602.10	$1,564.74	$1,564.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $790.07 / $1,916.81	Professional		$373.09	$790.07	$1,916.81