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 / $3,497.75	Facility		$988.00	$2,747.00	$3,497.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $124.12 / $214.59	Professional		$42.04	$124.12	$214.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $145.85 / $225.88	Professional		$86.00	$145.85	$225.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $154.79 / $227.75	Professional		$130.90	$154.79	$227.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $198.77 / $252.98	Professional		$92.48	$198.77	$252.98
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 $153.00 / $225.88 / $225.88	Professional		$153.00	$225.88	$225.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $2,465.42 / $4,035.20	Professional		$93.77	$2,465.42	$4,035.20