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 $1,630.92 / $1,630.92 / $1,630.92	Professional		$1,630.92	$1,630.92	$1,630.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,841.21 / $1,841.21 / $2,132.98	Professional		$1,841.21	$1,841.21	$2,132.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,225.05 / $2,435.08 / $3,010.37	Professional		$2,225.05	$2,435.08	$3,010.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,620.27 / $1,767.56 / $2,062.16	Professional		$1,620.27	$1,767.56	$2,062.16
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 $1,502.43 / $2,178.23 / $2,485.79	Professional		$1,502.43	$2,178.23	$2,485.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,990.73 / $2,962.16	Professional		$29.27	$1,990.73	$2,962.16