Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $1,449.00 / $2,898.00	Facility		$988.00	$1,449.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $267.00 / $656.72	Professional		$75.76	$267.00	$656.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $501.01 / $598.45	Professional		$100.75	$501.01	$598.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $151.44 / $813.94	Professional		$128.07	$151.44	$813.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $440.89 / $561.13	Professional		$86.43	$440.89	$561.13
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 $408.83 / $580.09 / $849.12	Professional		$408.83	$580.09	$849.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $72.56 / $101.60	Professional		$13.66	$72.56	$101.60