Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $203.00 / $287.17	Professional		$149.15	$203.00	$287.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.47 / $341.26 / $409.52	Professional		$278.47	$341.26	$409.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $335.91 / $475.39	Professional		$284.06	$335.91	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $273.01 / $341.26	Professional		$200.00	$273.01	$341.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $341.26 / $636.34	Professional		$269.51	$341.26	$636.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $2,000.00 / $5,304.00	Professional		$225.35	$2,000.00	$5,304.00