Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.84 / $1,496.84 / $1,496.84	Professional		$1,496.84	$1,496.84	$1,496.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.62 / $2,078.14 / $2,493.77	Professional		$1,637.62	$2,078.14	$2,493.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,230.60 / $2,441.14 / $2,882.06	Professional		$2,230.60	$2,441.14	$2,882.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,828.76 / $1,995.01 / $2,327.51	Professional		$1,828.76	$1,995.01	$2,327.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,660.79 / $2,078.14 / $2,659.25	Professional		$1,660.79	$2,078.14	$2,659.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $2,277.48 / $5,304.00	Professional		$1,015.00	$2,277.48	$5,304.00