Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.36 / $728.36 / $728.36	Professional		$728.36	$728.36	$728.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.53 / $1,034.53 / $1,241.43	Professional		$817.53	$1,034.53	$1,241.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,111.38 / $1,216.28 / $1,435.97	Professional		$1,111.38	$1,216.28	$1,435.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $910.38 / $993.14 / $1,158.67	Professional		$910.38	$993.14	$1,158.67
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 $779.50 / $1,034.53 / $1,266.24	Professional		$779.50	$1,034.53	$1,266.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $871.17 / $1,347.13	Professional		$29.27	$871.17	$1,347.13