Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $140.30 / $206.10	Professional		$111.97	$140.30	$206.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $241.63 / $278.08	Professional		$149.72	$241.63	$278.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $255.87 / $356.37	Professional		$216.38	$255.87	$356.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.46 / $244.72 / $311.45	Professional		$149.46	$244.72	$311.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $278.08 / $346.85	Professional		$226.92	$278.08	$346.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $212.73 / $295.97	Professional		$37.00	$212.73	$295.97