Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $988.00 / $2,898.00	Facility		$310.39	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $310.73 / $552.27	Professional		$248.03	$310.73	$552.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.09 / $446.86 / $536.24	Professional		$360.09	$446.86	$536.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $452.67 / $495.40 / $612.42	Professional		$452.67	$495.40	$612.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.94 / $410.16 / $464.74	Professional		$360.94	$410.16	$464.74
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 $327.26 / $445.23 / $534.71	Professional		$327.26	$445.23	$534.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $356.88 / $465.83	Professional		$58.23	$356.88	$465.83