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 $242.50 / $242.50 / $375.75	Professional		$242.50	$242.50	$375.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $540.69 / $648.83	Professional		$387.03	$540.69	$648.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $458.26 / $615.02	Professional		$397.85	$458.26	$615.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $458.50 / $540.69	Professional		$279.98	$458.50	$540.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.45 / $499.29 / $641.29	Professional		$390.45	$499.29	$641.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $336.84 / $533.76	Professional		$67.23	$336.84	$533.76