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 $2,238.72 / $2,570.40 / $3,235.94	Professional		$2,238.72	$2,570.40	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,630.27 / $3,311.31	Professional		$2,344.23	$2,630.27	$3,311.31
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,467.37 / $4,168.69	Professional		$3,162.28	$3,467.37	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $3,467.37	Professional		$2,454.71	$2,754.23	$3,467.37
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 $1,905.46 / $2,691.53 / $3,801.89	Professional		$1,905.46	$2,691.53	$3,801.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $2,238.72 / $3,235.94	Professional		$29.51	$2,238.72	$3,235.94