Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,898.00 / $3,444.00	Facility		$988.00	$2,898.00	$3,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $78.90 / $125.95	Professional		$18.03	$78.90	$125.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $94.74 / $113.69	Professional		$77.31	$94.74	$113.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $37.75 / $98.77	Professional		$29.76	$37.75	$98.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $83.37 / $98.53	Professional		$17.51	$83.37	$98.53
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 $36.18 / $77.31 / $106.82	Professional		$36.18	$77.31	$106.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $39.75 / $79.04	Professional		$14.20	$39.75	$79.04