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 $142.86 / $646.79 / $757.96	Professional		$142.86	$646.79	$757.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $561.14 / $703.25	Professional		$176.21	$561.14	$703.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $251.48 / $899.70	Professional		$218.33	$251.48	$899.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.83 / $493.80 / $561.14	Professional		$161.83	$493.80	$561.14
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 $457.89 / $667.91 / $936.35	Professional		$457.89	$667.91	$936.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $171.75 / $655.55	Professional		$29.27	$171.75	$655.55