Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $988.00 / $2,898.00	Facility		$504.83	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $253.77 / $522.85	Professional		$205.97	$253.77	$522.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.69 / $401.54 / $481.85	Professional		$307.69	$401.54	$481.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $435.29 / $2,077.00	Professional		$387.43	$435.29	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $356.01 / $417.60	Professional		$313.29	$356.01	$417.60
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 $288.62 / $398.12 / $472.38	Professional		$288.62	$398.12	$472.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $302.35 / $416.68	Professional		$52.08	$302.35	$416.68