Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $2,884.03	Facility		$1,000.00	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $234.42	Professional		$77.62	$125.89	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Professional		$154.88	$154.88	$223.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $346.74	Professional		$165.96	$190.55	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $263.03	Professional		$93.33	$186.21	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $331.13	Professional		$134.90	$186.21	$331.13