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 $2,611.69 / $2,611.69 / $2,678.69	Professional		$2,611.69	$2,611.69	$2,678.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,434.01 / $4,981.74 / $5,878.45	Professional		$4,434.01	$4,981.74	$5,878.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,599.11 / $3,926.30 / $4,580.68	Professional		$3,599.11	$3,926.30	$4,580.68
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 $3,337.36 / $4,089.90 / $5,487.54	Professional		$3,337.36	$4,089.90	$5,487.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $3,305.84 / $5,238.51	Professional		$29.27	$3,305.84	$5,238.51