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 $476.64 / $500.01 / $500.01	Professional		$476.64	$500.01	$500.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.11 / $561.03 / $573.90	Professional		$460.11	$561.03	$573.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $647.33 / $727.30 / $858.21	Professional		$647.33	$727.30	$858.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.70 / $538.58 / $628.35	Professional		$493.70	$538.58	$628.35
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 $457.80 / $568.35 / $737.97	Professional		$457.80	$568.35	$737.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.74 / $1,500.00 / $3,725.00	Professional		$502.74	$1,500.00	$3,725.00