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 $32.49 / $62.29 / $478.19	Professional		$32.49	$62.29	$478.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $392.51 / $428.62	Professional		$48.69	$392.51	$428.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $78.17 / $618.04	Professional		$66.11	$78.17	$618.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $345.41 / $439.61	Professional		$44.52	$345.41	$439.61
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 $392.51 / $392.51 / $677.40	Professional		$392.51	$392.51	$677.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $52.44 / $439.36	Professional		$29.27	$52.44	$439.36