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 $51.29 / $91.20 / $144.54	Professional		$51.29	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $165.96	Professional		$69.18	$131.83	$165.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $2,454.71	Professional		$95.50	$128.82	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $134.90	Professional		$50.12	$107.15	$134.90
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 $67.61 / $107.15 / $165.96	Professional		$67.61	$107.15	$165.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $3,548.13	Professional		$47.86	$125.89	$3,548.13