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 $1,033.27 / $1,263.39 / $1,263.39	Professional		$1,033.27	$1,263.39	$1,263.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.57 / $1,771.91 / $1,771.91	Professional		$1,370.57	$1,771.91	$1,771.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,876.44 / $2,108.23 / $2,487.71	Professional		$1,876.44	$2,108.23	$2,487.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,559.28 / $1,701.04 / $1,984.54	Professional		$1,559.28	$1,701.04	$1,984.54
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 $1,445.88 / $1,771.91 / $2,141.71	Professional		$1,445.88	$1,771.91	$2,141.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,538.19 / $2,435.17	Professional		$29.27	$1,538.19	$2,435.17