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 $450.07 / $509.25 / $673.73	Professional		$450.07	$509.25	$673.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.27 / $722.61 / $1,396.94	Professional		$488.27	$722.61	$1,396.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $765.75 / $860.34 / $989.39	Professional		$765.75	$860.34	$989.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.90 / $693.71 / $809.33	Professional		$635.90	$693.71	$809.33
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 $506.53 / $722.61 / $949.64	Professional		$506.53	$722.61	$949.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $523.29 / $781.85	Professional		$29.27	$523.29	$781.85