Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,747.00 / $2,898.00	Facility		$988.00	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $76.63 / $365.95	Professional		$53.87	$76.63	$365.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.45 / $275.44 / $330.53	Professional		$215.45	$275.44	$330.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $92.57 / $262.75	Professional		$79.45	$92.57	$262.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $233.57 / $275.44	Professional		$54.74	$233.57	$275.44
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 $203.49 / $275.44 / $344.16	Professional		$203.49	$275.44	$344.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $150.75 / $327.54	Professional		$40.94	$150.75	$327.54