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 $1,207.15 / $1,318.19 / $1,624.04	Professional		$1,207.15	$1,318.19	$1,624.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.85 / $1,656.68 / $3,423.23	Professional		$1,351.85	$1,656.68	$3,423.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,778.90 / $1,998.64 / $2,298.44	Professional		$1,778.90	$1,998.64	$2,298.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.86 / $1,590.41 / $1,855.48	Professional		$1,404.86	$1,590.41	$1,855.48
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 $1,306.69 / $1,656.68 / $2,400.51	Professional		$1,306.69	$1,656.68	$2,400.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,224.78 / $1,979.34	Professional		$29.27	$1,224.78	$1,979.34