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 $503.78 / $503.78 / $503.78	Professional		$503.78	$503.78	$503.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.08 / $569.08 / $655.65	Professional		$569.08	$569.08	$655.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $714.21 / $781.63 / $966.29	Professional		$714.21	$781.63	$966.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $546.30 / $637.36	Professional		$500.79	$546.30	$637.36
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 $464.37 / $612.91 / $790.68	Professional		$464.37	$612.91	$790.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $590.05 / $907.21	Professional		$29.27	$590.05	$907.21