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 $358.27 / $358.27 / $386.83	Professional		$358.27	$358.27	$386.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.66 / $537.67 / $537.67	Professional		$370.66	$537.67	$537.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $579.62 / $651.22 / $768.44	Professional		$579.62	$651.22	$768.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.15 / $516.16 / $602.20	Professional		$473.15	$516.16	$602.20
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 $438.74 / $537.67 / $710.25	Professional		$438.74	$537.67	$710.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $446.29 / $596.47	Professional		$29.27	$446.29	$596.47