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 $112.20 / $128.82 / $162.18	Professional		$112.20	$128.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $151.36	Professional		$125.89	$144.54	$151.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $218.78	Professional		$162.18	$177.83	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $158.49	Professional		$117.49	$128.82	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $190.55	Professional		$117.49	$151.36	$190.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $131.83 / $162.18	Professional		$19.95	$131.83	$162.18