Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $2,747.00 / $3,883.00	Facility		$1,486.00	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $220.37 / $277.50	Professional		$118.07	$220.37	$277.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $313.45 / $376.14	Professional		$248.78	$313.45	$376.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $212.07 / $250.78 / $400.22	Professional		$212.07	$250.78	$400.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.51 / $265.81 / $313.45	Professional		$149.51	$265.81	$313.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $313.45 / $429.53	Professional		$248.03	$313.45	$429.53
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $311.77 / $3,113.00	Professional		$43.76	$311.77	$3,113.00