Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $2,747.00 / $6,084.00	Facility		$1,861.43	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.44 / $1,095.44 / $1,095.44	Professional		$1,095.44	$1,095.44	$1,095.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.21 / $1,335.03 / $1,602.03	Professional		$1,035.21	$1,335.03	$1,602.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,402.44 / $1,534.82 / $1,812.03	Professional		$1,402.44	$1,534.82	$1,812.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.82 / $1,281.61 / $1,495.23	Professional		$1,174.82	$1,281.61	$1,495.23
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 $1,077.17 / $1,335.03 / $1,700.79	Professional		$1,077.17	$1,335.03	$1,700.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,100.54 / $3,619.79 / $9,324.00	Professional		$1,100.54	$3,619.79	$9,324.00