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 $87.98 / $168.58 / $415.40	Professional		$87.98	$168.58	$415.40
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 $98.56 / $213.00 / $479.24	Professional		$98.56	$213.00	$479.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $189.01 / $323.70	Professional		$158.88	$189.01	$323.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $256.13 / $351.55	Professional		$115.14	$256.13	$351.55
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 $194.37 / $306.08 / $385.74	Professional		$194.37	$306.08	$385.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $1,350.00 / $3,663.00	Professional		$137.52	$1,350.00	$3,663.00