Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.03 / $2,747.00 / $4,456.00	Facility		$1,324.03	$2,747.00	$4,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.94 / $1,383.94 / $1,383.94	Professional		$1,383.94	$1,383.94	$1,383.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.68 / $1,700.55 / $2,040.66	Professional		$1,321.68	$1,700.55	$2,040.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,790.85 / $1,959.88 / $2,313.88	Professional		$1,790.85	$1,959.88	$2,313.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.48 / $1,632.53 / $1,904.62	Professional		$1,496.48	$1,632.53	$1,904.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,387.65 / $1,700.55 / $2,194.38	Professional		$1,387.65	$1,700.55	$2,194.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $2,575.00 / $6,124.00	Professional		$1,161.00	$2,575.00	$6,124.00