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 $365.22 / $369.49 / $369.49	Professional		$365.22	$369.49	$369.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $457.08 / $457.08	Professional		$357.31	$457.08	$457.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $518.29 / $596.36 / $4,334.00	Professional		$518.29	$596.36	$4,334.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.23 / $438.79 / $511.92	Professional		$402.23	$438.79	$511.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $457.08 / $579.29	Professional		$372.97	$457.08	$579.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $1,550.00 / $3,725.00	Professional		$335.37	$1,550.00	$3,725.00