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 $62.64 / $141.02 / $649.00	Professional		$62.64	$141.02	$649.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.22 / $203.70 / $244.44	Professional		$166.22	$203.70	$244.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $133.25 / $2,278.00	Professional		$115.68	$133.25	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $179.26 / $203.70	Professional		$87.04	$179.26	$203.70
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 $166.22 / $203.70 / $395.50	Professional		$166.22	$203.70	$395.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $85.60 / $195.36	Professional		$28.16	$85.60	$195.36