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 $1,227.27 / $1,227.27 / $1,234.56	Professional		$1,227.27	$1,227.27	$1,234.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.31 / $1,477.93 / $1,477.93	Professional		$1,209.31	$1,477.93	$1,477.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,587.29 / $1,783.37 / $2,104.38	Professional		$1,587.29	$1,783.37	$2,104.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.57 / $1,418.81 / $1,655.28	Professional		$1,300.57	$1,418.81	$1,655.28
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 $1,205.99 / $1,477.93 / $1,926.32	Professional		$1,205.99	$1,477.93	$1,926.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,129.38 / $1,793.73	Professional		$29.27	$1,129.38	$1,793.73