Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,917.38 / $2,917.38 / $2,917.38	Professional		$2,917.38	$2,917.38	$2,917.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,720.02 / $3,459.25 / $4,151.10	Professional		$2,720.02	$3,459.25	$4,151.10
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,782.29 / $4,249.51 / $4,941.29	Professional		$3,782.29	$4,249.51	$4,941.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,044.14 / $3,320.88 / $3,874.36	Professional		$3,044.14	$3,320.88	$3,874.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,822.75 / $3,459.25 / $4,484.51	Professional		$2,822.75	$3,459.25	$4,484.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,513.08 / $5,039.06	Professional		$29.27	$2,513.08	$5,039.06