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 $1,144.82 / $1,144.82 / $1,144.82	Professional		$1,144.82	$1,144.82	$1,144.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.15 / $1,395.15 / $1,473.96	Professional		$1,395.15	$1,395.15	$1,473.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,637.67 / $1,792.25 / $2,215.67	Professional		$1,637.67	$1,792.25	$2,215.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.73 / $1,339.34 / $1,562.57	Professional		$1,227.73	$1,339.34	$1,562.57
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 $1,138.44 / $1,414.88 / $1,844.81	Professional		$1,138.44	$1,414.88	$1,844.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,425.00 / $2,096.00	Professional		$29.27	$1,425.00	$2,096.00