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 $1,100.85 / $1,100.85 / $1,100.85	Professional		$1,100.85	$1,100.85	$1,100.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.32 / $1,347.64 / $1,617.17	Professional		$1,045.32	$1,347.64	$1,617.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,413.92 / $1,497.09 / $1,721.65	Professional		$1,413.92	$1,497.09	$1,721.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.92 / $1,293.73 / $1,509.35	Professional		$1,185.92	$1,293.73	$1,509.35
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 $1,094.88 / $1,347.64 / $1,718.81	Professional		$1,094.88	$1,347.64	$1,718.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,118.23 / $1,455.01	Professional		$29.27	$1,118.23	$1,455.01