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 $78.50 / $122.89 / $485.57	Professional		$78.50	$122.89	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $436.90 / $495.83	Professional		$99.06	$436.90	$495.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.78 / $170.61 / $2,278.00	Professional		$137.78	$170.61	$2,278.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $436.33 / $495.83	Professional		$96.00	$436.33	$495.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.59 / $495.83 / $686.93	Professional		$404.59	$495.83	$686.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $2,021.27 / $4,023.00	Professional		$99.18	$2,021.27	$4,023.00