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 $127.06 / $206.35 / $277.83	Professional		$127.06	$206.35	$277.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $262.58 / $552.66	Professional		$145.22	$262.58	$552.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $259.99 / $394.48	Professional		$219.86	$259.99	$394.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.94 / $262.11 / $359.76	Professional		$155.94	$262.11	$359.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $317.63 / $398.19	Professional		$198.95	$317.63	$398.19
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $229.14 / $2,387.00	Professional		$43.13	$229.14	$2,387.00