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 $62.25 / $75.34 / $86.12	Professional		$62.25	$75.34	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $135.78 / $162.93	Professional		$89.05	$135.78	$162.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $121.97 / $138.63	Professional		$104.70	$121.97	$138.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $115.14 / $135.78	Professional		$79.00	$115.14	$135.78
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 $98.61 / $133.87 / $161.27	Professional		$98.61	$133.87	$161.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $91.74 / $138.15	Professional		$29.27	$91.74	$138.15