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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $164.84 / $197.81	Professional		$134.51	$164.84	$197.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $126.97 / $199.20	Professional		$107.37	$126.97	$199.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.86 / $145.06 / $171.43	Professional		$78.86	$145.06	$171.43
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 $134.51 / $164.84 / $338.04	Professional		$134.51	$164.84	$338.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $85.18 / $162.44	Professional		$29.27	$85.18	$162.44