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 $79.18 / $143.50 / $223.73	Professional		$79.18	$143.50	$223.73
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 $94.99 / $183.10 / $394.74	Professional		$94.99	$183.10	$394.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $148.31 / $285.13	Professional		$122.83	$148.31	$285.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $202.90 / $278.49	Professional		$87.16	$202.90	$278.49
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 $156.34 / $241.50 / $319.58	Professional		$156.34	$241.50	$319.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $1,402.00 / $3,663.00	Professional		$106.18	$1,402.00	$3,663.00