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 $620.29 / $649.82 / $897.09	Professional		$620.29	$649.82	$897.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.95 / $728.59 / $747.26	Professional		$598.95	$728.59	$747.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $973.42 / $1,148.64	Professional		$866.40	$973.42	$1,148.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.16 / $699.44 / $816.02	Professional		$641.16	$699.44	$816.02
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 $728.59 / $787.59 / $960.90	Professional		$728.59	$787.59	$960.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $658.53 / $1,062.32	Professional		$29.27	$658.53	$1,062.32