Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $988.00 / $2,898.00	Facility		$494.00	$988.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $119.44 / $428.09	Professional		$74.92	$119.44	$428.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $152.43 / $182.91	Professional		$118.74	$152.43	$182.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $149.94 / $183.36	Professional		$126.81	$149.94	$183.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $129.26 / $152.43	Professional		$85.48	$129.26	$152.43
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 $124.38 / $152.43 / $189.50	Professional		$124.38	$152.43	$189.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $107.37 / $166.64	Professional		$71.86	$107.37	$166.64