Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $411.40 / $528.00	Facility		$363.00	$411.40	$528.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $93.65 / $93.65	Professional		$93.65	$93.65	$93.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $528.00 / $528.00	Professional		$528.00	$528.00	$528.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $195.84 / $244.80 / $460.73	Professional		$195.84	$244.80	$460.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $528.00 / $616.00	Professional		$484.00	$528.00	$616.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $528.00 / $660.00	Professional		$176.70	$528.00	$660.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $550.00 / $792.00	Professional		$374.00	$550.00	$792.00