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 $333.14 / $413.67 / $634.50	Professional		$333.14	$413.67	$634.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $512.80 / $512.80	Professional		$411.27	$512.80	$512.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $647.35 / $763.87	Professional		$576.16	$647.35	$763.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.28 / $492.30 / $574.35	Professional		$451.28	$492.30	$574.35
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 $418.46 / $512.80 / $661.19	Professional		$418.46	$512.80	$661.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $374.82 / $703.76	Professional		$29.27	$374.82	$703.76