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 $847.64 / $966.65 / $1,184.48	Professional		$847.64	$966.65	$1,184.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.85 / $1,245.43 / $2,481.48	Professional		$989.85	$1,245.43	$2,481.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,342.98 / $1,508.88 / $1,735.21	Professional		$1,342.98	$1,508.88	$1,735.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,056.11 / $1,195.60 / $1,394.88	Professional		$1,056.11	$1,195.60	$1,394.88
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 $949.73 / $1,245.43 / $1,730.37	Professional		$949.73	$1,245.43	$1,730.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $917.75 / $1,426.68	Professional		$29.27	$917.75	$1,426.68