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 $1,704.27 / $1,704.27 / $1,704.27	Professional		$1,704.27	$1,704.27	$1,704.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.49 / $1,797.49 / $2,206.17	Professional		$1,797.49	$1,797.49	$2,206.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,182.44 / $2,388.46 / $2,952.73	Professional		$2,182.44	$2,388.46	$2,952.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,581.79 / $1,725.59 / $2,013.19	Professional		$1,581.79	$1,725.59	$2,013.19
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 $1,466.75 / $1,885.16 / $2,425.50	Professional		$1,466.75	$1,885.16	$2,425.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,961.33 / $2,915.14	Professional		$29.27	$1,961.33	$2,915.14