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 $14.11 / $16.87 / $85.00	Professional		$14.11	$16.87	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $23.09 / $27.71	Professional		$18.84	$23.09	$27.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $32.71 / $39.61	Professional		$29.89	$32.71	$39.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $20.63 / $24.01	Professional		$18.47	$20.63	$24.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $23.09 / $49.78	Professional		$18.84	$23.09	$49.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $18.14 / $23.06	Professional		$3.10	$18.14	$23.06