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 $996.33 / $1,098.58 / $1,401.25	Professional		$996.33	$1,098.58	$1,401.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.22 / $1,437.15 / $2,917.15	Professional		$1,164.22	$1,437.15	$2,917.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,540.54 / $1,730.84 / $1,990.47	Professional		$1,540.54	$1,730.84	$1,990.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.70 / $1,379.66 / $1,609.61	Professional		$1,218.70	$1,379.66	$1,609.61
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 $1,068.93 / $1,437.15 / $2,070.66	Professional		$1,068.93	$1,437.15	$2,070.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,052.74 / $1,686.82	Professional		$29.27	$1,052.74	$1,686.82