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 $1,023.29 / $1,148.15 / $1,698.24	Professional		$1,023.29	$1,148.15	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $4,365.16	Professional		$1,096.48	$1,380.38	$4,365.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,995.26	Professional		$1,513.56	$1,698.24	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,621.81	Professional		$1,071.52	$1,288.25	$1,621.81
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 $1,023.29 / $1,412.54 / $1,862.09	Professional		$1,023.29	$1,412.54	$1,862.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,023.29 / $1,584.89	Professional		$29.51	$1,023.29	$1,584.89