Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.65 / $1,331.10 / $3,883.00	Facility		$485.65	$1,331.10	$3,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $94.81 / $223.61	Professional		$51.26	$94.81	$223.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $170.61 / $204.74	Professional		$139.22	$170.61	$204.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $92.39 / $475.39	Professional		$78.13	$92.39	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $150.13 / $177.44	Professional		$71.15	$150.13	$177.44
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 $88.20 / $170.61 / $311.98	Professional		$88.20	$170.61	$311.98
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $3,239.97 / $5,401.00	Professional		$69.95	$3,239.97	$5,401.00