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 $878.13 / $878.13 / $924.13	Professional		$878.13	$878.13	$924.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.22 / $679.65 / $815.58	Professional		$587.22	$679.65	$815.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,136.21 / $1,296.07 / $4,765.00	Professional		$1,136.21	$1,296.07	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.89 / $611.88 / $713.86	Professional		$560.89	$611.88	$713.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $679.65 / $1,131.73	Professional		$498.88	$679.65	$1,131.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $607.19 / $967.43	Professional		$91.74	$607.19	$967.43