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 $12.88 / $45.71 / $109.65	Professional		$12.88	$45.71	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $2,454.71	Professional		$30.90	$43.65	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $85.11 / $100.00	Professional		$15.85	$85.11	$100.00
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 $19.50 / $54.95 / $107.15	Professional		$19.50	$54.95	$107.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $39.81 / $79.43	Professional		$14.13	$39.81	$79.43