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 $1,334.66 / $1,334.66 / $1,611.66	Professional		$1,334.66	$1,334.66	$1,611.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,605.65 / $1,920.95 / $1,920.95	Professional		$1,605.65	$1,920.95	$1,920.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,037.39 / $2,289.07 / $2,701.10	Professional		$2,037.39	$2,289.07	$2,701.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.44 / $1,844.11 / $2,151.46	Professional		$1,690.44	$1,844.11	$2,151.46
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 $1,567.50 / $1,920.95 / $2,455.94	Professional		$1,567.50	$1,920.95	$2,455.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,499.04 / $2,096.61	Professional		$29.27	$1,499.04	$2,096.61