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 $87.06 / $131.80 / $175.35	Professional		$87.06	$131.80	$175.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $184.26 / $337.52	Professional		$110.88	$184.26	$337.52
HMSA Facility/Professional Professional Modifier Low / Median / High Price $136.52 / $164.84 / $245.39	Professional		$136.52	$164.84	$245.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $155.00 / $212.74	Professional		$94.80	$155.00	$212.74
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 $137.30 / $189.95 / $244.41	Professional		$137.30	$189.95	$244.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $118.02 / $214.64	Professional		$29.27	$118.02	$214.64