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 $393.50 / $449.51 / $813.35	Professional		$393.50	$449.51	$813.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.56 / $632.88 / $759.45	Professional		$503.56	$632.88	$759.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $645.36 / $725.08 / $2,077.00	Professional		$645.36	$725.08	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.61 / $563.19 / $658.19	Professional		$495.61	$563.19	$658.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.40 / $632.88 / $767.19	Professional		$474.40	$632.88	$767.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $528.34 / $664.12	Professional		$83.01	$528.34	$664.12