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 $480.35 / $480.35 / $516.26	Professional		$480.35	$480.35	$516.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $379.69 / $455.63	Professional		$328.05	$379.69	$455.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $642.07 / $732.41 / $4,765.00	Professional		$642.07	$732.41	$4,765.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.66 / $334.13 / $388.17	Professional		$284.66	$334.13	$388.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $379.69 / $646.41	Professional		$275.38	$379.69	$646.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $1,402.00 / $3,725.00	Professional		$307.55	$1,402.00	$3,725.00