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 $1,412.54 / $1,698.24 / $2,398.83	Professional		$1,412.54	$1,698.24	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,041.74	Professional		$1,659.59	$1,995.26	$2,041.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,884.03	Professional		$2,187.76	$2,398.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,187.76	Professional		$1,621.81	$1,737.80	$2,187.76
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 $1,659.59 / $1,995.26 / $2,630.27	Professional		$1,659.59	$1,995.26	$2,630.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $1,513.56 / $2,238.72	Professional		$29.51	$1,513.56	$2,238.72