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 $761.28 / $773.32 / $773.32	Professional		$761.28	$773.32	$773.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.78 / $877.36 / $883.44	Professional		$737.78	$877.36	$883.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,026.81 / $1,153.65 / $1,361.31	Professional		$1,026.81	$1,153.65	$1,361.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.08 / $842.27 / $982.65	Professional		$772.08	$842.27	$982.65
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 $715.93 / $877.36 / $1,170.06	Professional		$715.93	$877.36	$1,170.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $698.94 / $1,099.60	Professional		$29.27	$698.94	$1,099.60