Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $163.41 / $209.30	Professional		$123.74	$163.41	$209.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.63 / $812.63 / $812.63	Facility		$812.63	$812.63	$812.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $236.64 / $385.00	Professional		$145.90	$236.64	$385.00
HMSA Facility/Professional Professional Modifier Low / Median / High Price $333.37 / $374.55 / $451.03	Professional		$333.37	$374.55	$451.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $159.41 / $185.99	Professional		$146.13	$159.41	$185.99
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 $135.51 / $194.49 / $491.79	Professional		$135.51	$194.49	$491.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.57 / $1,500.00 / $3,725.00	Professional		$180.57	$1,500.00	$3,725.00