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 $167.74 / $167.74 / $167.74	Professional		$167.74	$167.74	$167.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $216.51 / $292.93	Professional		$212.11	$216.51	$292.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $207.30 / $225.26 / $268.25	Professional		$207.30	$225.26	$268.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $207.85 / $242.49	Professional		$190.53	$207.85	$242.49
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 $176.67 / $222.20 / $292.39	Professional		$176.67	$222.20	$292.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $191.83 / $241.72	Professional		$150.18	$191.83	$241.72