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 $1,167.11 / $1,278.19 / $1,539.09	Professional		$1,167.11	$1,278.19	$1,539.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.98 / $1,571.06 / $3,212.27	Professional		$1,315.98	$1,571.06	$3,212.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,733.49 / $1,947.63 / $2,239.77	Professional		$1,733.49	$1,947.63	$2,239.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.26 / $1,508.22 / $1,759.59	Professional		$1,332.26	$1,508.22	$1,759.59
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 $1,240.69 / $1,580.02 / $2,156.88	Professional		$1,240.69	$1,580.02	$2,156.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,210.57 / $1,958.29	Professional		$29.27	$1,210.57	$1,958.29