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 $1,795.18 / $1,795.18 / $1,795.18	Professional		$1,795.18	$1,795.18	$1,795.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,138.94 / $2,138.94 / $2,320.48	Professional		$2,138.94	$2,138.94	$2,320.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,485.98 / $2,720.64 / $3,363.39	Professional		$2,485.98	$2,720.64	$3,363.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.28 / $2,053.39 / $2,395.62	Professional		$1,882.28	$2,053.39	$2,395.62
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 $1,745.38 / $2,181.09 / $2,841.32	Professional		$1,745.38	$2,181.09	$2,841.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,188.12 / $3,249.10	Professional		$29.27	$2,188.12	$3,249.10