Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,137.96	Professional		$1,288.25	$1,445.44	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $5,248.07	Professional		$1,380.38	$1,819.70	$5,248.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $2,570.40	Professional		$1,949.84	$2,187.76	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $1,995.26	Professional		$1,348.96	$1,621.81	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,344.23	Professional		$1,288.25	$1,778.28	$2,344.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,348.96 / $2,187.76	Professional		$29.51	$1,348.96	$2,187.76