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 $1,082.17 / $1,082.17 / $1,082.17	Professional		$1,082.17	$1,082.17	$1,082.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.89 / $1,128.89 / $1,385.25	Professional		$1,128.89	$1,128.89	$1,385.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,464.80 / $1,603.06 / $1,981.78	Professional		$1,464.80	$1,603.06	$1,981.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.42 / $1,083.73 / $1,264.34	Professional		$993.42	$1,083.73	$1,264.34
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 $921.17 / $1,166.36 / $1,507.44	Professional		$921.17	$1,166.36	$1,507.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,246.89 / $1,848.33	Professional		$29.27	$1,246.89	$1,848.33