Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $94.10 / $116.79	Professional		$80.92	$94.10	$116.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $112.10 / $157.38	Professional		$91.29	$112.10	$157.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $138.46 / $158.19	Professional		$74.55	$138.46	$158.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $138.49 / $176.26	Professional		$83.71	$138.49	$176.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $157.38 / $178.35	Professional		$128.41	$157.38	$178.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $98.11 / $177.99	Professional		$29.27	$98.11	$177.99