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 $883.07 / $883.07 / $883.07	Professional		$883.07	$883.07	$883.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.48 / $1,108.48 / $1,200.70	Professional		$1,108.48	$1,108.48	$1,200.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,318.68 / $1,443.15 / $1,784.10	Professional		$1,318.68	$1,443.15	$1,784.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.46 / $1,064.14 / $1,241.49	Professional		$975.46	$1,064.14	$1,241.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.52 / $1,168.38 / $1,505.36	Professional		$904.52	$1,168.38	$1,505.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $828.67 / $1,238.14	Professional		$155.99	$828.67	$1,238.14