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 $305.70 / $348.45 / $433.21	Professional		$305.70	$348.45	$433.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.07 / $466.88 / $898.08	Professional		$340.07	$466.88	$898.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $493.03 / $553.94 / $667.05	Professional		$493.03	$553.94	$667.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $448.20 / $522.90	Professional		$410.85	$448.20	$522.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.98 / $466.88 / $623.63	Professional		$327.98	$466.88	$623.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $451.87 / $507.37	Professional		$63.42	$451.87	$507.37