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 $104.88 / $116.68 / $202.49	Professional		$104.88	$116.68	$202.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $283.08 / $420.72	Professional		$153.51	$283.08	$420.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $183.71 / $217.24 / $428.70	Professional		$183.71	$217.24	$428.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $268.76 / $326.16	Professional		$125.95	$268.76	$326.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,106.00 / $1,106.00	Facility		$1,106.00	$1,106.00	$1,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.27 / $329.23 / $428.28	Professional		$232.27	$329.23	$428.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $155.54 / $372.06	Professional		$46.87	$155.54	$372.06