Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,431.00 / $10,303.00	Facility		$2,747.00	$8,431.00	$10,303.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.89 / $1,121.43 / $1,121.43	Professional		$1,071.89	$1,121.43	$1,121.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.43 / $1,276.83 / $1,276.83	Professional		$1,032.43	$1,276.83	$1,276.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,478.82 / $1,661.50 / $1,960.57	Professional		$1,478.82	$1,661.50	$1,960.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.60 / $1,225.75 / $1,430.04	Professional		$1,123.60	$1,225.75	$1,430.04
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 $1,041.89 / $1,276.83 / $1,663.31	Professional		$1,041.89	$1,276.83	$1,663.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $914.47 / $1,377.09	Professional		$29.27	$914.47	$1,377.09