Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.55 / $2,747.00 / $5,484.00	Facility		$1,635.55	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.35 / $1,052.35 / $1,052.35	Professional		$1,052.35	$1,052.35	$1,052.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.32 / $1,206.05 / $1,447.26	Professional		$934.32	$1,206.05	$1,447.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,336.08 / $1,462.20 / $1,726.30	Professional		$1,336.08	$1,462.20	$1,726.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.32 / $1,157.81 / $1,350.78	Professional		$1,061.32	$1,157.81	$1,350.78
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 $984.14 / $1,206.05 / $1,532.82	Professional		$984.14	$1,206.05	$1,532.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $3,900.00 / $8,000.00	Professional		$1,240.00	$3,900.00	$8,000.00