Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.71 / $326.79 / $865.34	Professional		$162.71	$326.79	$865.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.23 / $523.55 / $628.28	Professional		$427.23	$523.55	$628.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $323.80 / $598.49	Professional		$273.83	$323.80	$598.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $418.85 / $523.55	Professional		$200.00	$418.85	$523.55
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 $452.30 / $523.55 / $638.40	Professional		$452.30	$523.55	$638.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $213.03 / $506.46	Professional		$29.27	$213.03	$506.46