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 $1,104.73 / $1,183.55 / $1,183.55	Professional		$1,104.73	$1,183.55	$1,183.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.83 / $1,422.83 / $1,509.19	Professional		$1,422.83	$1,422.83	$1,509.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,572.78 / $1,721.25 / $2,127.88	Professional		$1,572.78	$1,721.25	$2,127.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.08 / $1,365.91 / $1,593.56	Professional		$1,252.08	$1,365.91	$1,593.56
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 $1,161.03 / $1,428.77 / $1,870.65	Professional		$1,161.03	$1,428.77	$1,870.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,444.62 / $2,034.46	Professional		$29.27	$1,444.62	$2,034.46