Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.39 / $290.39 / $395.43	Professional		$290.39	$290.39	$395.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.59 / $495.83 / $594.99	Professional		$382.59	$495.83	$594.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $423.66 / $500.98 / $610.10	Professional		$423.66	$500.98	$610.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.00 / $420.46 / $495.83	Professional		$301.00	$420.46	$495.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.66 / $488.39 / $656.28	Professional		$398.66	$488.39	$656.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $354.38 / $533.66	Professional		$66.70	$354.38	$533.66