Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,258.93	Professional		$831.76	$891.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,258.93	Professional		$891.25	$1,071.52	$1,258.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,584.89	Professional		$1,202.26	$1,318.26	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,230.27	Professional		$870.96	$1,000.00	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $933.25 / $1,230.27	Professional		$29.51	$933.25	$1,230.27