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 $98.52 / $174.41 / $300.70	Professional		$98.52	$174.41	$300.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $234.93 / $281.91	Professional		$191.70	$234.93	$281.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $174.48 / $210.75 / $291.77	Professional		$174.48	$210.75	$291.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $200.00 / $234.93	Professional		$133.62	$200.00	$234.93
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 $188.70 / $234.93 / $444.28	Professional		$188.70	$234.93	$444.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $138.41 / $237.27	Professional		$98.87	$138.41	$237.27