Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $561.00 / $720.00	Facility		$495.00	$561.00	$720.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.14 / $823.98 / $2,630.00	Professional		$493.14	$823.98	$2,630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.25 / $720.00 / $720.00	Professional		$327.25	$720.00	$720.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $605.24 / $714.18 / $832.20	Professional		$605.24	$714.18	$832.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $720.00 / $840.00	Professional		$660.00	$720.00	$840.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $900.00	Professional		$600.00	$720.00	$900.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $882.00 / $1,350.00	Professional		$510.00	$882.00	$1,350.00