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 $1,146.57 / $1,146.57 / $1,146.57	Professional		$1,146.57	$1,146.57	$1,146.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.67 / $1,408.01 / $1,689.62	Professional		$1,092.67	$1,408.01	$1,689.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,545.61 / $1,691.51 / $1,997.02	Professional		$1,545.61	$1,691.51	$1,997.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.05 / $1,351.69 / $1,576.97	Professional		$1,239.05	$1,351.69	$1,576.97
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 $1,148.94 / $1,408.01 / $1,799.73	Professional		$1,148.94	$1,408.01	$1,799.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,354.94 / $3,900.00 / $8,000.00	Professional		$1,354.94	$3,900.00	$8,000.00