Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.15 / $559.73 / $2,898.00	Facility		$246.15	$559.73	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $90.89 / $282.76	Professional		$48.56	$90.89	$282.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $112.49 / $134.99	Professional		$91.79	$112.49	$134.99
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $108.00 / $2,542.00	Professional		$87.36	$108.00	$2,542.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $98.99 / $116.99	Professional		$67.17	$98.99	$116.99
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 $91.79 / $112.49 / $205.58	Professional		$91.79	$112.49	$205.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $69.31 / $104.60	Professional		$49.50	$69.31	$104.60