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 $1,546.02 / $1,546.02 / $1,546.02	Professional		$1,546.02	$1,546.02	$1,546.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.87 / $2,028.48 / $2,434.17	Professional		$1,580.87	$2,028.48	$2,434.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,143.39 / $2,345.71 / $2,769.40	Professional		$2,143.39	$2,345.71	$2,769.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,785.06 / $1,947.34 / $2,271.89	Professional		$1,785.06	$1,947.34	$2,271.89
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 $1,624.30 / $2,028.48 / $2,567.52	Professional		$1,624.30	$2,028.48	$2,567.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $1,545.47 / $2,205.69	Professional		$29.27	$1,545.47	$2,205.69