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 $1,301.34 / $1,301.34 / $1,301.34	Professional		$1,301.34	$1,301.34	$1,301.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.93 / $1,544.03 / $1,852.83	Professional		$1,197.93	$1,544.03	$1,852.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,655.68 / $1,811.97 / $2,139.23	Professional		$1,655.68	$1,811.97	$2,139.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,358.74 / $1,482.26 / $1,729.31	Professional		$1,358.74	$1,482.26	$1,729.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.40 / $1,544.03 / $1,988.72	Professional		$1,255.40	$1,544.03	$1,988.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,248.40 / $1,669.75	Professional		$29.27	$1,248.40	$1,669.75