Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $42.00 / $450.00	Professional		$32.50	$42.00	$450.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $387.60 / $387.60 / $387.60	Professional	AA	$387.60	$387.60	$387.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $375.00 / $450.00	Professional		$275.00	$375.00	$450.00
HMSA Facility/Professional Professional Modifier QZ Low / Median / High Price $3.72 / $4.18 / $4.38	Professional	QZ	$3.72	$4.18	$4.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.58 / $210.00 / $393.60	Professional		$133.58	$210.00	$393.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.00 / $77.00	Professional		$30.00	$64.00	$77.00
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $49.30 / $71.83	Professional		$8.69	$49.30	$71.83