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 $1,629.09 / $1,629.09 / $1,629.09	Professional		$1,629.09	$1,629.09	$1,629.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.48 / $1,702.48 / $2,111.83	Professional		$1,702.48	$1,702.48	$2,111.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,156.17 / $2,359.71 / $2,917.18	Professional		$2,156.17	$2,359.71	$2,917.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.18 / $1,634.38 / $1,906.77	Professional		$1,498.18	$1,634.38	$1,906.77
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 $1,389.22 / $1,784.29 / $2,296.50	Professional		$1,389.22	$1,784.29	$2,296.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,869.50 / $2,791.94	Professional		$29.27	$1,869.50	$2,791.94