Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $3,388.44	Professional		$1,698.24	$3,090.30	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Professional		$3,019.95	$3,019.95	$3,311.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,677.35	Professional		$3,630.78	$3,890.45	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $3,311.31	Professional		$2,570.40	$2,818.38	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,073.80	Professional		$2,454.71	$3,090.30	$4,073.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,454.71 / $3,548.13	Professional		$29.51	$2,454.71	$3,548.13