Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,267.58 / $1,948.46	Professional		$1,051.57	$1,267.58	$1,948.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.69 / $1,545.68 / $1,854.81	Professional		$1,195.69	$1,545.68	$1,854.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,614.27 / $1,813.68 / $8,430.00	Professional		$1,614.27	$1,813.68	$8,430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,360.19 / $1,483.85 / $1,731.16	Professional		$1,360.19	$1,483.85	$1,731.16
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 $1,241.71 / $1,545.68 / $1,963.92	Professional		$1,241.71	$1,545.68	$1,963.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,112.89 / $2,582.96 / $6,124.00	Professional		$1,112.89	$2,582.96	$6,124.00