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 $1,202.26 / $2,187.76 / $2,398.83	Professional		$1,202.26	$2,187.76	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Professional		$2,137.96	$2,137.96	$2,290.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,311.31	Professional		$2,570.40	$2,754.23	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,344.23	Professional		$1,862.09	$2,041.74	$2,344.23
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 $1,778.28 / $2,187.76 / $2,884.03	Professional		$1,778.28	$2,187.76	$2,884.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,187.76 / $3,162.28	Professional		$29.51	$2,187.76	$3,162.28