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 $127.68 / $137.25 / $226.38	Professional		$127.68	$137.25	$226.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $240.96 / $263.14	Professional		$151.77	$240.96	$263.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.42 / $227.11 / $312.64	Professional		$183.42	$227.11	$312.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $231.57 / $294.73	Professional		$136.32	$231.57	$294.73
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 $214.73 / $263.14 / $334.08	Professional		$214.73	$263.14	$334.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $156.52 / $273.47	Professional		$34.18	$156.52	$273.47