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 $1,213.14 / $1,352.40 / $1,687.71	Professional		$1,213.14	$1,352.40	$1,687.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.68 / $1,698.05 / $3,510.09	Professional		$1,385.68	$1,698.05	$3,510.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,823.59 / $2,048.86 / $2,356.19	Professional		$1,823.59	$2,048.86	$2,356.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.95 / $1,630.13 / $1,901.82	Professional		$1,439.95	$1,630.13	$1,901.82
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 $1,340.15 / $1,698.05 / $2,332.09	Professional		$1,340.15	$1,698.05	$2,332.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,259.06 / $2,038.53	Professional		$29.27	$1,259.06	$2,038.53