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 $1,356.14 / $1,356.14 / $1,356.14	Professional		$1,356.14	$1,356.14	$1,356.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.54 / $1,726.28 / $2,071.53	Professional		$1,340.54	$1,726.28	$2,071.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,814.25 / $1,985.50 / $2,344.11	Professional		$1,814.25	$1,985.50	$2,344.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.12 / $1,657.22 / $1,933.43	Professional		$1,519.12	$1,657.22	$1,933.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.65 / $1,726.28 / $2,216.73	Professional		$1,397.65	$1,726.28	$2,216.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,392.21 / $1,866.98	Professional		$29.27	$1,392.21	$1,866.98