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 $1,354.79 / $1,354.79 / $1,553.31	Professional		$1,354.79	$1,354.79	$1,553.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.91 / $1,853.31 / $1,853.31	Professional		$1,546.91	$1,853.31	$1,853.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,966.90 / $2,209.87 / $2,607.65	Professional		$1,966.90	$2,209.87	$2,607.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,630.92 / $1,779.18 / $2,075.71	Professional		$1,630.92	$1,779.18	$2,075.71
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 $1,512.30 / $1,853.31 / $2,368.32	Professional		$1,512.30	$1,853.31	$2,368.32
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,449.54 / $2,023.01	Professional		$29.27	$1,449.54	$2,023.01