Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,511.38 / $8,511.38	Facility		$2,818.38	$8,511.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,047.13	Professional		$794.33	$870.96	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,000.00	Professional		$758.58	$954.99	$1,000.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,445.44	Professional		$1,096.48	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,096.48	Professional		$794.33	$870.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,258.93	Professional		$812.83	$977.24	$1,258.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $724.44 / $1,096.48	Professional		$29.51	$724.44	$1,096.48