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 $95.45 / $107.20 / $136.04	Professional		$95.45	$107.20	$136.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $134.63 / $379.79	Professional		$105.99	$134.63	$379.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $167.43 / $192.54	Professional		$149.02	$167.43	$192.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.05 / $113.00 / $131.84	Professional		$96.05	$113.00	$131.84
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 $95.17 / $119.43 / $180.93	Professional		$95.17	$119.43	$180.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $86.68 / $130.53	Professional		$16.32	$86.68	$130.53