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 $102.78 / $123.54 / $139.09	Professional		$102.78	$123.54	$139.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $161.79 / $284.01	Professional		$115.07	$161.79	$284.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $201.48 / $226.36 / $260.31	Professional		$201.48	$226.36	$260.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.76 / $125.20 / $146.06	Professional		$114.76	$125.20	$146.06
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 $106.42 / $138.99 / $197.57	Professional		$106.42	$138.99	$197.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $97.56 / $145.77	Professional		$18.36	$97.56	$145.77