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 $1,293.72 / $1,293.72 / $1,293.72	Professional		$1,293.72	$1,293.72	$1,293.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.01 / $1,525.01 / $1,663.14	Professional		$1,525.01	$1,525.01	$1,663.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,792.06 / $1,961.22 / $2,424.56	Professional		$1,792.06	$1,961.22	$2,424.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.01 / $1,464.01 / $1,708.01	Professional		$1,342.01	$1,464.01	$1,708.01
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 $1,244.41 / $1,585.45 / $2,049.94	Professional		$1,244.41	$1,585.45	$2,049.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,571.06 / $2,349.23	Professional		$29.27	$1,571.06	$2,349.23