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 $1,904.89 / $2,105.66 / $3,153.12	Professional		$1,904.89	$2,105.66	$3,153.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,166.96 / $2,565.76 / $2,565.76	Professional		$2,166.96	$2,565.76	$2,565.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,742.09 / $3,080.82 / $3,635.37	Professional		$2,742.09	$3,080.82	$3,635.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,257.87 / $2,463.13 / $2,873.65	Professional		$2,257.87	$2,463.13	$2,873.65
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 $2,093.66 / $2,565.76 / $3,304.52	Professional		$2,093.66	$2,565.76	$3,304.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $2,059.21 / $2,806.84	Professional		$29.27	$2,059.21	$2,806.84