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 $1,158.64 / $1,158.64 / $1,158.64	Professional		$1,158.64	$1,158.64	$1,158.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.75 / $1,289.75 / $1,513.37	Professional		$1,289.75	$1,289.75	$1,513.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,569.37 / $1,717.51 / $2,123.27	Professional		$1,569.37	$1,717.51	$2,123.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.98 / $1,238.16 / $1,444.52	Professional		$1,134.98	$1,238.16	$1,444.52
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 $1,052.44 / $1,350.43 / $1,738.38	Professional		$1,052.44	$1,350.43	$1,738.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,419.74 / $2,108.58	Professional		$29.27	$1,419.74	$2,108.58