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 $295.18 / $413.96 / $742.51	Professional		$295.18	$413.96	$742.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $569.88 / $683.85	Professional		$492.37	$569.88	$683.85
HMSA Facility/Professional Professional Modifier Low / Median / High Price $534.59 / $614.47 / $2,462.00	Professional		$534.59	$614.47	$2,462.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.25 / $501.49 / $569.88	Professional		$388.25	$501.49	$569.88
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 $385.49 / $544.25 / $570.37	Professional		$385.49	$544.25	$570.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $411.88 / $615.39	Professional		$77.53	$411.88	$615.39