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 $102.76 / $145.63 / $269.38	Professional		$102.76	$145.63	$269.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $191.64 / $385.00	Professional		$124.09	$191.64	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $219.17 / $259.35	Professional		$184.23	$219.17	$259.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.33 / $182.16 / $231.84	Professional		$134.33	$182.16	$231.84
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 $145.84 / $207.00 / $267.70	Professional		$145.84	$207.00	$267.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $156.61 / $245.21	Professional		$29.27	$156.61	$245.21