Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.54 / $1,219.54 / $1,830.16	Professional		$1,219.54	$1,219.54	$1,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.72 / $1,459.89 / $1,751.87	Professional		$1,133.72	$1,459.89	$1,751.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,527.44 / $1,742.35 / $5,851.00	Professional		$1,527.44	$1,742.35	$5,851.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.70 / $1,401.49 / $1,635.07	Professional		$1,284.70	$1,401.49	$1,635.07
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 $1,191.27 / $1,459.89 / $1,877.73	Professional		$1,191.27	$1,459.89	$1,877.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,212.05 / $1,571.40	Professional		$29.27	$1,212.05	$1,571.40