Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,277.00	Facility		$1,486.00	$3,883.00	$4,277.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $156.55 / $258.41	Professional		$74.45	$156.55	$258.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $199.21 / $239.06	Professional		$162.56	$199.21	$239.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $150.04 / $2,278.00	Professional		$130.26	$150.04	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $175.31 / $200.00	Professional		$97.28	$175.31	$200.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $199.21 / $248.25	Professional		$107.73	$199.21	$248.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $96.39 / $191.23	Professional		$27.56	$96.39	$191.23