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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $264.25 / $1,279.00	Professional		$93.23	$264.25	$1,279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $205.51 / $246.62	Professional		$167.70	$205.51	$246.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $200.11 / $236.63 / $362.32	Professional		$200.11	$236.63	$362.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $174.27 / $205.51	Professional		$65.56	$174.27	$205.51
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 $167.70 / $205.51 / $461.81	Professional		$167.70	$205.51	$461.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $218.07 / $4,305.00	Professional		$52.82	$218.07	$4,305.00