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 $650.48 / $650.48 / $768.97	Professional		$650.48	$650.48	$768.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.78 / $1,135.71 / $1,362.86	Professional		$905.78	$1,135.71	$1,362.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,165.59 / $1,339.77 / $1,487.76	Professional		$1,165.59	$1,339.77	$1,487.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.40 / $999.43 / $1,135.71	Professional		$822.40	$999.43	$1,135.71
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 $844.49 / $1,121.11 / $1,401.83	Professional		$844.49	$1,121.11	$1,401.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $697.10 / $861.13 / $1,049.75	Professional		$697.10	$861.13	$1,049.75