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 $3,290.67 / $3,290.67 / $3,554.52	Professional		$3,290.67	$3,290.67	$3,554.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,425.16 / $5,040.45 / $5,040.45	Professional		$3,425.16	$5,040.45	$5,040.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5,378.77 / $6,043.20 / $7,130.98	Professional		$5,378.77	$6,043.20	$7,130.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,435.60 / $4,838.83 / $5,645.30	Professional		$4,435.60	$4,838.83	$5,645.30
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 $4,113.01 / $5,040.45 / $6,534.27	Professional		$4,113.01	$5,040.45	$6,534.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $3,675.65 / $5,535.09	Professional		$29.27	$3,675.65	$5,535.09