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 $931.23 / $1,072.39 / $1,218.47	Professional		$931.23	$1,072.39	$1,218.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.25 / $1,394.48 / $2,888.11	Professional		$1,095.25	$1,394.48	$2,888.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,497.79 / $1,682.81 / $1,985.72	Professional		$1,497.79	$1,682.81	$1,985.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.51 / $1,338.70 / $1,561.81	Professional		$1,182.51	$1,338.70	$1,561.81
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 $1,052.75 / $1,394.48 / $1,916.31	Professional		$1,052.75	$1,394.48	$1,916.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,372.73 / $1,541.31	Professional		$29.27	$1,372.73	$1,541.31