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 $1,308.34 / $1,308.34 / $1,308.34	Professional		$1,308.34	$1,308.34	$1,308.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,597.55 / $1,597.55 / $1,691.19	Professional		$1,597.55	$1,597.55	$1,691.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,730.36 / $1,893.69 / $2,341.08	Professional		$1,730.36	$1,893.69	$2,341.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.84 / $1,533.65 / $1,789.26	Professional		$1,405.84	$1,533.65	$1,789.26
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 $1,303.59 / $1,610.63 / $2,132.34	Professional		$1,303.59	$1,610.63	$2,132.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,419.32 / $2,064.05	Professional		$29.27	$1,419.32	$2,064.05