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 $1,874.06 / $2,030.54 / $2,619.07	Professional		$1,874.06	$2,030.54	$2,619.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,176.79 / $2,668.00 / $5,358.86	Professional		$2,176.79	$2,668.00	$5,358.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,856.04 / $3,208.85 / $3,864.06	Professional		$2,856.04	$3,208.85	$3,864.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,262.46 / $2,561.28 / $2,988.16	Professional		$2,262.46	$2,561.28	$2,988.16
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 $2,094.35 / $2,668.00 / $3,884.28	Professional		$2,094.35	$2,668.00	$3,884.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,028.03 / $3,301.81	Professional		$29.27	$2,028.03	$3,301.81