Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.64 / $1,169.06 / $1,793.29	Professional		$1,145.64	$1,169.06	$1,793.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.61 / $1,442.49 / $1,442.49	Professional		$1,105.61	$1,442.49	$1,442.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,581.31 / $1,776.64 / $2,096.44	Professional		$1,581.31	$1,776.64	$2,096.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,269.39 / $1,384.79 / $1,615.59	Professional		$1,269.39	$1,384.79	$1,615.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.07 / $1,442.49 / $1,868.85	Professional		$1,177.07	$1,442.49	$1,868.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,056.98 / $1,901.11	Professional		$29.27	$1,056.98	$1,901.11