Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $257.18 / $257.18	Professional		$237.75	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $406.90 / $488.28	Professional		$330.16	$406.90	$488.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $420.73 / $472.71 / $2,077.00	Professional		$420.73	$472.71	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $387.39 / $433.87	Professional		$340.90	$387.39	$433.87
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 $290.74 / $406.90 / $493.26	Professional		$290.74	$406.90	$493.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $337.72 / $429.58	Professional		$54.12	$337.72	$429.58