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 $863.14 / $863.15 / $1,829.23	Professional		$863.14	$863.15	$1,829.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.83 / $1,470.05 / $1,470.05	Professional		$973.83	$1,470.05	$1,470.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,420.38 / $1,595.84 / $1,883.09	Professional		$1,420.38	$1,595.84	$1,883.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.64 / $1,411.25 / $1,646.46	Professional		$1,293.64	$1,411.25	$1,646.46
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 $1,199.56 / $1,470.05 / $1,849.53	Professional		$1,199.56	$1,470.05	$1,849.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,055.77 / $1,577.44	Professional		$29.27	$1,055.77	$1,577.44