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 $355.18 / $363.32 / $537.61	Professional		$355.18	$363.32	$537.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.26 / $444.26 / $484.75	Professional		$444.26	$444.26	$484.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $540.53 / $591.54 / $731.31	Professional		$540.53	$591.54	$731.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.95 / $426.49 / $497.57	Professional		$390.95	$426.49	$497.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $472.15 / $600.96	Professional		$362.52	$472.15	$600.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $456.25 / $912.50	Professional		$29.27	$456.25	$912.50