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 $114.04 / $196.21 / $371.72	Professional		$114.04	$196.21	$371.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $283.51 / $340.22	Professional		$244.95	$283.51	$340.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $257.75 / $3,857.00	Professional		$208.16	$257.75	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $226.81 / $283.51	Professional		$148.51	$226.81	$283.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Facility		$1,689.00	$1,689.00	$1,689.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $269.20 / $362.49	Professional		$200.47	$269.20	$362.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $177.63 / $335.85	Professional		$38.97	$177.63	$335.85