Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.64 / $340.07 / $477.14	Professional		$199.64	$340.07	$477.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.71 / $475.04 / $849.49	Professional		$245.71	$475.04	$849.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $321.38 / $388.06 / $677.29	Professional		$321.38	$388.06	$677.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $427.79 / $587.16	Professional		$225.45	$427.79	$587.16
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 $386.11 / $524.25 / $665.68	Professional		$386.11	$524.25	$665.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $1,402.00 / $3,663.00	Professional		$277.85	$1,402.00	$3,663.00