Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.67 / $1,592.95 / $1,592.95	Professional		$1,314.67	$1,592.95	$1,592.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.35 / $2,068.16 / $2,186.46	Professional		$1,693.35	$2,068.16	$2,186.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,399.12 / $2,625.57 / $3,180.67	Professional		$2,399.12	$2,625.57	$3,180.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.98 / $1,985.44 / $2,316.34	Professional		$1,819.98	$1,985.44	$2,316.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,687.62 / $2,169.09 / $2,749.05	Professional		$1,687.62	$2,169.09	$2,749.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,047.38 / $3,089.11	Professional		$29.27	$2,047.38	$3,089.11