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 $1,191.57 / $1,312.73 / $1,312.73	Professional		$1,191.57	$1,312.73	$1,312.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.92 / $1,685.28 / $1,793.71	Professional		$1,569.92	$1,685.28	$1,793.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,948.21 / $2,188.87 / $2,582.87	Professional		$1,948.21	$2,188.87	$2,582.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,483.04 / $1,617.86 / $1,887.51	Professional		$1,483.04	$1,617.86	$1,887.51
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 $1,375.18 / $1,758.66 / $2,233.02	Professional		$1,375.18	$1,758.66	$2,233.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,605.09 / $2,583.51	Professional		$29.27	$1,605.09	$2,583.51