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 $53.07 / $55.30 / $144.83	Professional		$53.07	$55.30	$144.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $150.99 / $200.29	Professional		$64.12	$150.99	$200.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $95.81 / $225.92	Professional		$78.11	$95.81	$225.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $176.25 / $224.32	Professional		$54.01	$176.25	$224.32
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 $163.43 / $200.29 / $240.57	Professional		$163.43	$200.29	$240.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $66.65 / $227.88	Professional		$44.26	$66.65	$227.88