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 $1,391.23 / $1,391.23 / $1,583.64	Professional		$1,391.23	$1,391.23	$1,583.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,579.33 / $1,873.68 / $1,873.68	Professional		$1,579.33	$1,873.68	$1,873.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,990.11 / $2,235.94 / $2,638.42	Professional		$1,990.11	$2,235.94	$2,638.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.83 / $1,798.73 / $2,098.52	Professional		$1,648.83	$1,798.73	$2,098.52
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 $1,528.92 / $1,873.68 / $2,407.61	Professional		$1,528.92	$1,873.68	$2,407.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,507.52 / $2,047.95	Professional		$29.27	$1,507.52	$2,047.95