Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.00 / $852.27 / $1,002.67	Facility		$752.00	$852.27	$1,002.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.60 / $474.60 / $474.60	Professional		$474.60	$474.60	$474.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $445.28 / $1,002.67	Professional		$208.71	$445.28	$1,002.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $620.61 / $1,042.61	Professional		$93.80	$620.61	$1,042.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $891.26 / $1,039.81	Professional		$765.00	$891.26	$1,039.81
United Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $1,002.67 / $1,182.14	Professional		$523.00	$1,002.67	$1,182.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.48 / $960.78 / $2,048.36	Professional		$288.48	$960.78	$2,048.36