Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.51 / $160.51 / $232.99	Professional		$160.51	$160.51	$232.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $410.06 / $492.08	Professional		$281.93	$410.06	$492.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $270.79 / $315.49 / $389.02	Professional		$270.79	$315.49	$389.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $347.73 / $410.06	Professional		$196.10	$347.73	$410.06
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 $255.22 / $398.12 / $477.47	Professional		$255.22	$398.12	$477.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $213.74 / $405.97	Professional		$51.15	$213.74	$405.97