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 $1,416.88 / $1,515.68 / $1,515.68	Professional		$1,416.88	$1,515.68	$1,515.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.28 / $1,845.28 / $1,960.26	Professional		$1,845.28	$1,845.28	$1,960.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,136.35 / $2,338.00 / $2,890.35	Professional		$2,136.35	$2,338.00	$2,890.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,623.84 / $1,771.46 / $2,066.71	Professional		$1,623.84	$1,771.46	$2,066.71
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 $1,505.74 / $1,871.69 / $2,441.73	Professional		$1,505.74	$1,871.69	$2,441.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,882.67 / $2,783.86	Professional		$29.27	$1,882.67	$2,783.86