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 $84.42 / $119.62 / $190.16	Professional		$84.42	$119.62	$190.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $148.10 / $177.72	Professional		$127.96	$148.10	$177.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $181.27 / $2,462.00	Professional		$157.69	$181.27	$2,462.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $130.33 / $154.02	Professional		$113.16	$130.33	$154.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $142.72 / $189.17	Professional		$108.63	$142.72	$189.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $122.38 / $185.66	Professional		$29.27	$122.38	$185.66