Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $371.07 / $477.95	Professional		$305.64	$371.07	$477.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $450.00 / $804.33	Professional		$356.20	$450.00	$804.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $452.43 / $508.32 / $584.57	Professional		$452.43	$508.32	$584.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $392.86 / $458.33	Professional		$333.93	$392.86	$458.33
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 $313.08 / $409.23 / $562.41	Professional		$313.08	$409.23	$562.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $417.09 / $609.88	Professional		$29.27	$417.09	$609.88