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 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $134.77 / $466.00	Professional		$85.79	$134.77	$466.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $205.84 / $247.01	Professional		$167.96	$205.84	$247.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $171.56 / $4,347.00	Professional		$145.08	$171.56	$4,347.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $181.14 / $205.84	Professional		$108.35	$181.14	$205.84
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 $189.17 / $224.18 / $405.70	Professional		$189.17	$224.18	$405.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $132.22 / $3,113.00	Professional		$29.27	$132.22	$3,113.00