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 $51.42 / $91.85 / $129.80	Professional		$51.42	$91.85	$129.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $115.67 / $232.95	Professional		$65.43	$115.67	$232.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $98.31 / $163.36	Professional		$82.62	$98.31	$163.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $101.71 / $139.61	Professional		$59.40	$101.71	$139.61
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 $95.81 / $124.65 / $176.81	Professional		$95.81	$124.65	$176.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $1,658.00 / $4,023.00	Professional		$64.14	$1,658.00	$4,023.00