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 $1,365.69 / $1,365.69 / $1,365.69	Professional		$1,365.69	$1,365.69	$1,365.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.08 / $1,683.08 / $1,769.48	Professional		$1,683.08	$1,683.08	$1,769.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,936.50 / $2,119.30 / $2,619.98	Professional		$1,936.50	$2,119.30	$2,619.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.11 / $1,615.75 / $1,885.04	Professional		$1,481.11	$1,615.75	$1,885.04
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 $1,373.39 / $1,717.01 / $2,234.30	Professional		$1,373.39	$1,717.01	$2,234.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,565.66 / $2,301.32	Professional		$29.27	$1,565.66	$2,301.32