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 $94.42 / $220.58 / $464.68	Professional		$94.42	$220.58	$464.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.39 / $371.99 / $446.39	Professional		$321.39	$371.99	$446.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $221.15 / $2,077.00	Professional		$187.02	$221.15	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $297.58 / $371.99	Professional		$132.75	$297.58	$371.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.55 / $352.85 / $371.99	Professional		$257.55	$352.85	$371.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $180.35 / $423.37	Professional		$52.92	$180.35	$423.37