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 $1,038.18 / $1,214.96 / $1,924.58	Professional		$1,038.18	$1,214.96	$1,924.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.39 / $1,535.56 / $3,022.70	Professional		$1,065.39	$1,535.56	$3,022.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,627.61 / $1,828.66 / $2,102.96	Professional		$1,627.61	$1,828.66	$2,102.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.16 / $1,474.14 / $1,719.83	Professional		$1,302.16	$1,474.14	$1,719.83
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 $1,098.64 / $1,535.56 / $2,046.48	Professional		$1,098.64	$1,535.56	$2,046.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,112.24 / $1,661.82	Professional		$29.27	$1,112.24	$1,661.82