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 $99.06 / $121.65 / $165.85	Professional		$99.06	$121.65	$165.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $195.46 / $197.05	Professional		$132.96	$195.46	$197.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $197.72 / $221.48	Professional		$159.19	$197.72	$221.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $172.01 / $195.46	Professional		$118.97	$172.01	$195.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $195.46 / $252.14	Professional		$159.50	$195.46	$252.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $135.85 / $228.82	Professional		$90.21	$135.85	$228.82