Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $6,084.00	Facility		$1,758.00	$2,747.00	$6,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.20 / $470.20 / $470.20	Professional		$470.20	$470.20	$470.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.19 / $564.84 / $677.81	Professional		$439.19	$564.84	$677.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $609.25 / $666.76 / $787.20	Professional		$609.25	$666.76	$787.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.06 / $542.24 / $632.62	Professional		$497.06	$542.24	$632.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $2,912.00 / $2,912.00	Facility		$2,912.00	$2,912.00	$2,912.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.91 / $564.84 / $715.38	Professional		$460.91	$564.84	$715.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $502.64 / $620.54	Professional		$29.27	$502.64	$620.54