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 $72.39 / $78.45 / $98.99	Professional		$72.39	$78.45	$98.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $64.91 / $77.90	Professional		$56.08	$64.91	$77.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $121.07 / $2,540.00	Professional		$107.75	$121.07	$2,540.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $57.12 / $67.51	Professional		$51.81	$57.12	$67.51
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 $56.08 / $64.91 / $104.87	Professional		$56.08	$64.91	$104.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $60.69 / $80.89	Professional		$29.27	$60.69	$80.89