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 $1,010.57 / $1,010.57 / $1,010.57	Professional		$1,010.57	$1,010.57	$1,010.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,121.90 / $1,313.75	Professional		$1,121.90	$1,121.90	$1,313.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,348.43 / $1,475.71 / $1,824.35	Professional		$1,348.43	$1,475.71	$1,824.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.27 / $1,077.02 / $1,256.53	Professional		$987.27	$1,077.02	$1,256.53
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 $915.47 / $1,121.90 / $1,506.80	Professional		$915.47	$1,121.90	$1,506.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,237.96 / $1,937.32	Professional		$29.27	$1,237.96	$1,937.32