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 $1,318.09 / $1,318.09 / $1,318.09	Professional		$1,318.09	$1,318.09	$1,318.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,437.01 / $1,437.01 / $1,716.16	Professional		$1,437.01	$1,437.01	$1,716.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,736.85 / $1,900.80 / $2,349.85	Professional		$1,736.85	$1,900.80	$2,349.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.57 / $1,379.53 / $1,609.45	Professional		$1,264.57	$1,379.53	$1,609.45
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 $1,172.59 / $1,506.23 / $1,938.23	Professional		$1,172.59	$1,506.23	$1,938.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,482.89 / $2,038.41	Professional		$29.27	$1,482.89	$2,038.41