Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,093.75 / $3,506.25 / $4,500.00	Facility		$3,093.75	$3,506.25	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.76 / $1,547.76 / $1,547.76	Professional		$1,547.76	$1,547.76	$1,547.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Professional		$4,500.00	$4,500.00	$4,500.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3,534.03 / $4,237.50 / $4,687.50	Professional		$3,534.03	$4,237.50	$4,687.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,125.00 / $4,500.00 / $5,250.00	Professional		$4,125.00	$4,500.00	$5,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,920.30 / $4,500.00 / $5,625.00	Professional		$2,920.30	$4,500.00	$5,625.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,187.50 / $5,512.50 / $8,437.50	Professional		$3,187.50	$5,512.50	$8,437.50