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 $717.82 / $805.85 / $1,992.80	Professional		$717.82	$805.85	$1,992.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.73 / $895.73 / $918.95	Professional		$895.73	$895.73	$918.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,098.38 / $1,267.36 / $1,435.61	Professional		$1,098.38	$1,267.36	$1,435.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.24 / $859.90 / $1,003.21	Professional		$788.24	$859.90	$1,003.21
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 $730.91 / $942.77 / $1,216.49	Professional		$730.91	$942.77	$1,216.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $665.20 / $993.89	Professional		$29.27	$665.20	$993.89