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 $489.78 / $549.54 / $691.83	Professional		$489.78	$549.54	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $707.95	Professional		$501.19	$549.54	$707.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $891.25	Professional		$676.08	$741.31	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $758.58	Professional		$537.03	$602.56	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $812.83	Professional		$407.38	$588.84	$812.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $537.03 / $691.83	Professional		$29.51	$537.03	$691.83