Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $114.82 / $288.40	Professional		$64.57	$114.82	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $199.53	Professional		$72.44	$120.23	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $190.55	Professional		$104.71	$128.82	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $173.78	Professional		$64.57	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $169.82	Professional		$63.10	$107.15	$169.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $85.11 / $190.55	Professional		$29.51	$85.11	$190.55