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 $86.40 / $115.93 / $155.09	Professional		$86.40	$115.93	$155.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $221.07 / $221.07 / $221.07	Professional	50	$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $143.86 / $154.59	Professional		$102.54	$143.86	$154.59
HMSA Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $163.53 / $193.10	Professional		$132.06	$163.53	$193.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $136.04 / $173.14	Professional		$92.71	$136.04	$173.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $154.59 / $194.39	Professional		$126.14	$154.59	$194.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $106.27 / $168.90	Professional		$29.27	$106.27	$168.90