Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.53 / $456.87 / $2,898.00	Facility		$241.53	$456.87	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $107.33 / $343.87	Professional		$50.66	$107.33	$343.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $122.15 / $146.58	Professional		$99.67	$122.15	$146.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $162.30 / $217.52	Professional		$131.08	$162.30	$217.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $107.49 / $127.04	Professional		$50.40	$107.49	$127.04
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 $108.94 / $149.44 / $173.44	Professional		$108.94	$149.44	$173.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $72.89 / $335.37	Professional		$29.27	$72.89	$335.37