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 $1,312.50 / $1,312.50 / $2,656.73	Professional		$1,312.50	$1,312.50	$2,656.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $3,440.64 / $10,173.77	Professional		$539.00	$3,440.64	$10,173.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,829.50 / $2,071.13 / $2,416.32	Professional		$1,829.50	$2,071.13	$2,416.32
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 $1,845.67 / $2,863.61 / $4,141.88	Professional		$1,845.67	$2,863.61	$4,141.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27