Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.51 / $908.52 / $913.87	Professional		$908.51	$908.52	$913.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.85 / $1,124.35 / $1,124.35	Professional		$889.85	$1,124.35	$1,124.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,203.92 / $1,352.64 / $1,596.12	Professional		$1,203.92	$1,352.64	$1,596.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.44 / $1,079.39 / $1,259.29	Professional		$989.44	$1,079.39	$1,259.29
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 $917.48 / $1,124.35 / $1,460.64	Professional		$917.48	$1,124.35	$1,460.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $822.72 / $1,493.35	Professional		$29.27	$822.72	$1,493.35