Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.00 / $2,747.00 / $6,084.00	Facility		$2,528.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.22 / $1,417.22 / $1,417.22	Professional		$1,417.22	$1,417.22	$1,417.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.58 / $1,741.98 / $2,090.37	Professional		$1,352.58	$1,741.98	$2,090.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,832.17 / $2,005.10 / $2,367.26	Professional		$1,832.17	$2,005.10	$2,367.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.94 / $1,672.30 / $1,951.01	Professional		$1,532.94	$1,672.30	$1,951.01
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 $1,412.08 / $1,741.98 / $2,238.71	Professional		$1,412.08	$1,741.98	$2,238.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,368.59 / $1,885.41	Professional		$29.27	$1,368.59	$1,885.41