Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,698.24	Professional		$1,096.48	$1,202.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,621.81	Professional		$1,288.25	$1,445.44	$1,621.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $2,238.72	Professional		$1,698.24	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,819.70	Professional		$1,348.96	$1,445.44	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,041.74	Professional		$1,318.26	$1,548.82	$2,041.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,174.90 / $1,905.46	Professional		$29.51	$1,174.90	$1,905.46