Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $1,000.00	Professional		$707.95	$870.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,071.52	Professional		$870.96	$1,071.52	$1,071.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,621.81	Professional		$1,230.27	$1,348.96	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,148.15	Professional		$851.14	$933.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,380.38	Professional		$870.96	$1,047.13	$1,380.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $794.33 / $1,445.44	Professional		$29.51	$794.33	$1,445.44