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 $676.08 / $977.24 / $1,288.25	Professional		$676.08	$977.24	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,096.48	Professional		$891.25	$1,071.52	$1,096.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,621.81	Professional		$1,230.27	$1,318.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,023.29 / $1,288.25	Professional		$954.99	$1,023.29	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,412.54	Professional		$870.96	$1,096.48	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $912.01 / $1,445.44	Professional		$29.51	$912.01	$1,445.44