Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.50 / $2,747.00 / $2,898.00	Facility		$864.50	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $102.27 / $165.01	Professional		$58.40	$102.27	$165.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.10 / $127.69 / $153.22	Professional		$99.10	$127.69	$153.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $109.40 / $191.38	Professional		$92.52	$109.40	$191.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $108.28 / $127.69	Professional		$63.71	$108.28	$127.69
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 $101.63 / $127.69 / $186.54	Professional		$101.63	$127.69	$186.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $123.07 / $2,594.00	Professional		$52.43	$123.07	$2,594.00