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 $373.29 / $453.57 / $841.10	Professional		$373.29	$453.57	$841.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.63 / $655.69 / $786.83	Professional		$513.63	$655.69	$786.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $667.12 / $749.53 / $2,077.00	Professional		$667.12	$749.53	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.51 / $577.01 / $681.92	Professional		$507.51	$577.01	$681.92
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 $492.08 / $655.69 / $794.39	Professional		$492.08	$655.69	$794.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $403.10 / $1,925.00 / $5,401.00	Professional		$403.10	$1,925.00	$5,401.00