Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.75 / $1,007.60 / $1,359.20	Professional		$804.75	$1,007.60	$1,359.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,491.35	Professional		$1,109.10	$1,109.10	$1,491.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.66 / $1,431.70 / $1,670.31	Professional		$1,264.66	$1,431.70	$1,670.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.80 / $1,491.35 / $2,037.14	Professional		$1,048.80	$1,491.35	$2,037.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $903.77 / $1,097.44 / $1,463.14	Professional		$903.77	$1,097.44	$1,463.14