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 $876.49 / $1,026.65 / $1,026.65	Professional		$876.49	$1,026.65	$1,026.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.38 / $1,500.11 / $1,500.11	Professional		$1,184.38	$1,500.11	$1,500.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,603.28 / $1,801.33 / $2,125.57	Professional		$1,603.28	$1,801.33	$2,125.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.10 / $1,440.11 / $1,680.13	Professional		$1,320.10	$1,440.11	$1,680.13
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 $1,294.82 / $1,399.02 / $1,918.58	Professional		$1,294.82	$1,399.02	$1,918.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $1,095.61 / $1,533.87	Professional		$206.24	$1,095.61	$1,533.87