Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,818.38	Professional		$1,995.26	$2,290.87	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,884.03	Professional		$2,041.74	$2,290.87	$2,884.03
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,715.35	Professional		$2,818.38	$3,090.30	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $3,090.30	Professional		$2,187.76	$2,454.71	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,388.44	Professional		$1,698.24	$2,344.23	$3,388.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,949.84 / $2,884.03	Professional		$29.51	$1,949.84	$2,884.03