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 $89.68 / $118.59 / $177.95	Professional		$89.68	$118.59	$177.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $136.63 / $170.24	Professional		$107.68	$136.63	$170.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.93 / $164.28 / $202.77	Professional		$138.93	$164.28	$202.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $149.81 / $190.67	Professional		$96.66	$149.81	$190.67
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 $138.91 / $170.24 / $204.57	Professional		$138.91	$170.24	$204.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $117.63 / $184.87	Professional		$78.73	$117.63	$184.87