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 $1,141.75 / $1,141.75 / $1,225.96	Professional		$1,141.75	$1,141.75	$1,225.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.72 / $1,336.90 / $1,336.90	Professional		$1,199.72	$1,336.90	$1,336.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,618.11 / $1,818.00 / $2,145.23	Professional		$1,618.11	$1,818.00	$2,145.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.47 / $1,283.42 / $1,497.33	Professional		$1,176.47	$1,283.42	$1,497.33
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 $1,090.91 / $1,336.90 / $1,731.69	Professional		$1,090.91	$1,336.90	$1,731.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $957.09 / $1,441.27	Professional		$29.27	$957.09	$1,441.27