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 $45.68 / $92.62 / $383.28	Professional		$45.68	$92.62	$383.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.84 / $23.62 / $48.09	Professional	52	$22.84	$23.62	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $100.18 / $101.87	Professional		$54.38	$100.18	$101.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $80.34 / $128.51	Professional		$64.88	$80.34	$128.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $88.15 / $112.20	Professional		$31.74	$88.15	$112.20
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 $81.73 / $100.18 / $125.61	Professional		$81.73	$100.18	$125.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $60.45 / $110.54	Professional		$26.67	$60.45	$110.54