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 $301.00 / $301.00 / $301.00	Professional		$301.00	$301.00	$301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $395.31 / $474.38	Professional		$306.77	$395.31	$474.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $456.74 / $539.24	Professional		$417.34	$456.74	$539.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $379.50 / $442.75	Professional		$347.88	$379.50	$442.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $395.31 / $496.61	Professional		$311.52	$395.31	$496.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $1,500.00 / $3,725.00	Professional		$335.37	$1,500.00	$3,725.00