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 / $8,698.81	Facility		$988.00	$2,898.00	$8,698.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $278.12 / $1,176.43	Professional		$189.00	$278.12	$1,176.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $326.17 / $364.45	Professional		$229.64	$326.17	$364.45
HMSA Facility/Professional Professional Modifier Low / Median / High Price $302.12 / $357.25 / $473.58	Professional		$302.12	$357.25	$473.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $320.72 / $408.18	Professional		$207.47	$320.72	$408.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $364.45 / $482.46	Professional		$297.39	$364.45	$482.46
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $261.98 / $4,023.00	Professional		$51.78	$261.98	$4,023.00