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 $1,597.41 / $1,597.41 / $1,597.41	Professional		$1,597.41	$1,597.41	$1,597.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,896.68 / $1,896.68 / $2,065.85	Professional		$1,896.68	$1,896.68	$2,065.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,220.04 / $2,429.59 / $3,003.58	Professional		$2,220.04	$2,429.59	$3,003.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,669.07 / $1,820.81 / $2,124.28	Professional		$1,669.07	$1,820.81	$2,124.28
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 $1,547.69 / $1,938.48 / $2,522.23	Professional		$1,547.69	$1,938.48	$2,522.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.32 / $1,941.99 / $2,090.10	Professional		$263.32	$1,941.99	$2,090.10