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 $356.32 / $397.79 / $489.61	Professional		$356.32	$397.79	$489.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.42 / $524.11 / $937.16	Professional		$420.42	$524.11	$937.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $550.49 / $618.49 / $744.77	Professional		$550.49	$618.49	$744.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.79 / $503.77 / $587.73	Professional		$461.79	$503.77	$587.73
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 $363.94 / $524.76 / $684.92	Professional		$363.94	$524.76	$684.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $385.98 / $651.78	Professional		$29.27	$385.98	$651.78