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 $1,313.80 / $1,376.84 / $1,376.84	Professional		$1,313.80	$1,376.84	$1,376.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.36 / $1,565.03 / $1,566.33	Professional		$1,265.36	$1,565.03	$1,566.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,830.71 / $2,056.86 / $2,427.09	Professional		$1,830.71	$2,056.86	$2,427.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,377.22 / $1,502.42 / $1,752.83	Professional		$1,377.22	$1,502.42	$1,752.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.06 / $1,565.03 / $2,039.49	Professional		$1,277.06	$1,565.03	$2,039.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,122.83 / $1,690.85	Professional		$29.27	$1,122.83	$1,690.85