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 $2,375.42 / $2,375.42 / $2,375.42	Professional		$2,375.42	$2,375.42	$2,375.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,889.21 / $2,889.21 / $3,006.16	Professional		$2,889.21	$2,889.21	$3,006.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,527.07 / $3,859.99 / $4,771.91	Professional		$3,527.07	$3,859.99	$4,771.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,542.51 / $2,773.64 / $3,235.92	Professional		$2,542.51	$2,773.64	$3,235.92
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 $2,357.60 / $3,034.66 / $3,916.50	Professional		$2,357.60	$3,034.66	$3,916.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,155.84 / $3,221.08	Professional		$29.27	$2,155.84	$3,221.08