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 $100.90 / $218.41 / $461.48	Professional		$100.90	$218.41	$461.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.06 / $347.29 / $416.75	Professional		$300.06	$347.29	$416.75
HMSA Facility/Professional Professional Modifier Low / Median / High Price $189.17 / $223.70 / $3,857.00	Professional		$189.17	$223.70	$3,857.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $277.83 / $347.29	Professional		$131.44	$277.83	$347.29
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 $239.50 / $336.20 / $443.06	Professional		$239.50	$336.20	$443.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $162.15 / $405.17	Professional		$50.65	$162.15	$405.17