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 $38.08 / $73.31 / $200.87	Professional		$38.08	$73.31	$200.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $186.08 / $225.75	Professional		$56.35	$186.08	$225.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $90.98 / $274.01	Professional		$76.94	$90.98	$274.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $198.66 / $252.84	Professional		$52.31	$198.66	$252.84
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 $184.21 / $225.75 / $294.80	Professional		$184.21	$225.75	$294.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $56.93 / $233.32	Professional		$29.27	$56.93	$233.32