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 $927.89 / $1,108.82 / $1,108.82	Professional		$927.89	$1,108.82	$1,108.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.69 / $1,450.48 / $1,513.56	Professional		$1,227.69	$1,450.48	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,662.19 / $1,867.52 / $2,203.67	Professional		$1,662.19	$1,867.52	$2,203.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.42 / $1,392.46 / $1,624.53	Professional		$1,276.42	$1,392.46	$1,624.53
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 $1,450.48 / $1,556.17 / $1,914.62	Professional		$1,450.48	$1,556.17	$1,914.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,275.96 / $2,025.00	Professional		$29.27	$1,275.96	$2,025.00