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 $1,610.96 / $1,610.96 / $1,610.96	Professional		$1,610.96	$1,610.96	$1,610.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.55 / $1,940.55 / $2,081.07	Professional		$1,940.55	$1,940.55	$2,081.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,263.13 / $2,476.73 / $3,061.88	Professional		$2,263.13	$2,476.73	$3,061.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.68 / $1,862.93 / $2,173.42	Professional		$1,707.68	$1,862.93	$2,173.42
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 $1,583.49 / $1,983.90 / $2,580.12	Professional		$1,583.49	$1,983.90	$2,580.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,933.13 / $2,806.41	Professional		$29.27	$1,933.13	$2,806.41