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 $72.44 / $116.56 / $671.48	Professional		$72.44	$116.56	$671.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $238.64 / $905.13	Professional		$113.29	$238.64	$905.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $744.76 / $854.83 / $1,007.62	Professional		$744.76	$854.83	$1,007.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $796.51 / $919.61	Professional		$99.06	$796.51	$919.61
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 $512.86 / $865.04 / $905.13	Professional		$512.86	$865.04	$905.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $252.02 / $973.80	Professional		$99.13	$252.02	$973.80