Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,747.00 / $2,898.00	Facility		$494.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $181.37 / $372.25	Professional		$134.68	$181.37	$372.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $293.25 / $351.90	Professional		$239.29	$293.25	$351.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $263.16 / $311.19 / $373.69	Professional		$263.16	$311.19	$373.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $237.90 / $293.25	Professional		$200.00	$237.90	$293.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.48 / $293.25 / $558.24	Professional		$237.48	$293.25	$558.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $1,415.00 / $3,725.00	Professional		$198.20	$1,415.00	$3,725.00