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 $107.54 / $157.24 / $251.60	Professional		$107.54	$157.24	$251.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $197.93 / $237.51	Professional		$161.51	$197.93	$237.51
HMSA Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $179.29 / $242.61	Professional		$150.19	$179.29	$242.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $174.17 / $200.00	Professional		$116.68	$174.17	$200.00
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 $161.51 / $197.93 / $374.02	Professional		$161.51	$197.93	$374.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $119.15 / $197.29	Professional		$26.53	$119.15	$197.29