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 $55.07 / $57.38 / $92.40	Professional		$55.07	$57.38	$92.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $98.99 / $111.33	Professional		$65.02	$98.99	$111.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $101.44 / $135.51	Professional		$81.93	$101.44	$135.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $97.97 / $124.68	Professional		$57.50	$97.97	$124.68
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 $90.84 / $111.33 / $132.77	Professional		$90.84	$111.33	$132.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $69.91 / $118.53	Professional		$29.27	$69.91	$118.53