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 $1,230.27 / $1,288.25 / $1,548.82	Professional		$1,230.27	$1,288.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,445.44	Professional		$1,174.90	$1,445.44	$1,445.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,238.72	Professional		$1,698.24	$1,819.70	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,584.89	Professional		$1,148.15	$1,258.93	$1,584.89
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 $1,174.90 / $1,479.11 / $1,905.46	Professional		$1,174.90	$1,479.11	$1,905.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,202.26 / $1,905.46	Professional		$29.51	$1,202.26	$1,905.46