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 $46.50 / $57.52 / $95.12	Professional		$46.50	$57.52	$95.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $85.08	Facility		$85.08	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $136.50 / $259.80	Professional		$55.79	$136.50	$259.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $93.64 / $251.92	Professional		$79.19	$93.64	$251.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $137.83 / $167.28	Professional		$56.44	$137.83	$167.28
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 $106.05 / $167.28 / $198.74	Professional		$106.05	$167.28	$198.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $67.56 / $396.59	Professional		$29.27	$67.56	$396.59