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 $28.85 / $64.59 / $312.00	Professional		$28.85	$64.59	$312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.42 / $137.78 / $165.33	Professional		$112.42	$137.78	$165.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $68.70 / $2,278.00	Professional		$58.98	$68.70	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $121.24 / $143.29	Professional		$42.79	$121.24	$143.29
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 $79.81 / $137.78 / $260.70	Professional		$79.81	$137.78	$260.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $43.65 / $135.41	Professional		$19.52	$43.65	$135.41