Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $2,747.00 / $2,898.00	Facility		$78.90	$2,747.00	$2,898.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $23.87 / $23.87	Professional		$10.53	$23.87	$23.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $78.90 / $104.92	Facility		$78.90	$78.90	$104.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $47.37 / $69.66	Professional		$18.30	$47.37	$69.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $82.09 / $99.90	Professional		$68.45	$82.09	$99.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $51.08 / $60.37	Professional		$27.61	$51.08	$60.37
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 $18.63 / $58.05 / $87.69	Professional		$18.63	$58.05	$87.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $55.46 / $138.88	Professional		$21.96	$55.46	$138.88