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 $1,002.05 / $1,127.64 / $5,324.00	Professional		$1,002.05	$1,127.64	$5,324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.10 / $1,355.18 / $1,355.18	Professional		$1,099.10	$1,355.18	$1,355.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,479.95 / $1,702.82 / $11,782.00	Professional		$1,479.95	$1,702.82	$11,782.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.55 / $1,300.97 / $1,517.80	Professional		$1,192.55	$1,300.97	$1,517.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,105.82 / $1,368.23 / $1,780.20	Professional		$1,105.82	$1,368.23	$1,780.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $990.52 / $9,435.00 / $12,953.00	Professional		$990.52	$9,435.00	$12,953.00