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 $73.81 / $77.23 / $126.97	Professional		$73.81	$77.23	$126.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $136.26 / $211.06	Professional		$88.00	$136.26	$211.06
HMSA Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $131.44 / $204.21	Professional		$111.15	$131.44	$204.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $185.74 / $236.39	Professional		$76.98	$185.74	$236.39
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 $172.23 / $211.06 / $232.34	Professional		$172.23	$211.06	$232.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $99.40 / $235.76	Professional		$29.70	$99.40	$235.76