Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,025.60	Facility		$2,570.40	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,621.81	Professional		$1,122.02	$1,318.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,584.89	Professional		$1,288.25	$1,584.89	$1,584.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $14,791.08	Professional		$1,778.28	$2,290.87	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,698.24	Professional		$1,230.27	$1,348.96	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,584.89 / $2,238.72	Professional		$218.78	$1,584.89	$2,238.72