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 $1,381.80 / $1,635.57 / $2,245.37	Professional		$1,381.80	$1,635.57	$2,245.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,866.11 / $1,866.11 / $2,127.19	Professional		$1,866.11	$1,866.11	$2,127.19
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,375.09 / $2,668.48 / $3,148.81	Professional		$2,375.09	$2,668.48	$3,148.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,642.18 / $1,791.47 / $2,090.05	Professional		$1,642.18	$1,791.47	$2,090.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.75 / $1,866.11 / $2,539.35	Professional		$1,522.75	$1,866.11	$2,539.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,444.00 / $2,250.44	Professional		$29.27	$1,444.00	$2,250.44