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 $1,177.30 / $1,218.10 / $1,218.10	Professional		$1,177.30	$1,218.10	$1,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.10 / $1,406.23 / $1,406.23	Professional		$1,134.10	$1,406.23	$1,406.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,621.04 / $1,821.29 / $2,149.12	Professional		$1,621.04	$1,821.29	$2,149.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.48 / $1,349.98 / $1,574.97	Professional		$1,237.48	$1,349.98	$1,574.97
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 $1,147.48 / $1,406.23 / $1,828.88	Professional		$1,147.48	$1,406.23	$1,828.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,206.25 / $1,899.70	Professional		$29.27	$1,206.25	$1,899.70