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 $716.96 / $716.96 / $716.96	Professional		$716.96	$716.96	$716.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.73 / $939.73 / $939.73	Professional		$939.73	$939.73	$939.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $902.14 / $1,052.49	Professional		$826.96	$902.14	$1,052.49
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 $766.82 / $990.65 / $1,276.38	Professional		$766.82	$990.65	$1,276.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $132.26 / $975.40 / $1,049.79	Professional		$132.26	$975.40	$1,049.79