Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,883.00 / $4,705.00	Facility		$1,486.00	$3,883.00	$4,705.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.60 / $427.60 / $427.60	Professional		$427.60	$427.60	$427.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.09 / $481.59 / $577.91	Professional		$416.09	$481.59	$577.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $504.59 / $552.22 / $668.97	Professional		$504.59	$552.22	$668.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $462.32 / $539.38	Professional		$423.80	$462.32	$539.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.41 / $416.09 / $491.45	Professional		$358.41	$416.09	$491.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $425.36 / $534.26	Professional		$29.27	$425.36	$534.26