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 $485.56 / $485.56 / $485.56	Professional		$485.56	$485.56	$485.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.49 / $530.49 / $594.00	Professional		$530.49	$530.49	$594.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $728.50 / $797.27 / $985.62	Professional		$728.50	$797.27	$985.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.83 / $509.27 / $594.15	Professional		$466.83	$509.27	$594.15
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 $432.88 / $557.25 / $718.47	Professional		$432.88	$557.25	$718.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $396.02 / $591.71	Professional		$29.27	$396.02	$591.71