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 $243.29 / $243.29 / $243.29	Professional		$243.29	$243.29	$243.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $266.81 / $297.30	Professional		$266.81	$266.81	$297.30
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.42 / $455.73 / $563.40	Professional		$416.42	$455.73	$563.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $256.14 / $298.83	Professional		$234.80	$256.14	$298.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $278.70 / $359.78	Professional		$217.72	$278.70	$359.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $198.50 / $296.58	Professional		$37.36	$198.50	$296.58