Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.78 / $1,203.34 / $1,544.40	Facility		$1,061.78	$1,203.34	$1,544.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $1,580.00 / $1,580.00	Professional		$1,580.00	$1,580.00	$1,580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.40 / $1,544.40 / $1,544.40	Professional		$1,544.40	$1,544.40	$1,544.40
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,145.49 / $1,347.64 / $1,608.75	Professional		$1,145.49	$1,347.64	$1,608.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,544.40 / $1,930.50	Professional		$1,287.00	$1,544.40	$1,930.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,544.40 / $1,930.50	Professional		$1,287.00	$1,544.40	$1,930.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,093.95 / $1,891.89 / $2,895.75	Professional		$1,093.95	$1,891.89	$2,895.75