Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,831.43 / $2,898.00	Facility		$988.00	$2,831.43	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $147.28 / $591.51	Professional		$84.40	$147.28	$591.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.51 / $330.29 / $396.35	Professional		$269.51	$330.29	$396.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $199.43 / $281.11	Professional		$168.65	$199.43	$281.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $264.23 / $330.29	Professional		$128.47	$264.23	$330.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $330.29 / $510.74	Professional		$199.54	$330.29	$510.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $1,658.00 / $4,233.00	Professional		$124.64	$1,658.00	$4,233.00