Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,943.50 / $4,469.30 / $5,736.00	Facility		$3,943.50	$4,469.30	$5,736.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $5,736.00	Professional		$5,736.00	$5,736.00	$5,736.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $4,254.45 / $5,005.22 / $5,975.00	Professional		$4,254.45	$5,005.22	$5,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,170.00	Professional		$4,780.00	$5,736.00	$7,170.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,170.00	Professional		$4,780.00	$5,736.00	$7,170.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,063.00 / $7,026.60 / $10,755.00	Professional		$4,063.00	$7,026.60	$10,755.00