Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $3,444.00 / $3,873.57	Facility		$988.00	$3,444.00	$3,873.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $170.56 / $349.35	Professional		$123.00	$170.56	$349.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $269.44 / $323.33	Professional		$219.86	$269.44	$323.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $295.37 / $475.39	Professional		$249.78	$295.37	$475.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.95 / $228.93 / $269.44	Professional		$192.95	$228.93	$269.44
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 $219.86 / $269.44 / $516.40	Professional		$219.86	$269.44	$516.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $3,504.36 / $5,401.00	Professional		$184.84	$3,504.36	$5,401.00