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 $38.02 / $57.54 / $181.97	Professional		$38.02	$57.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $91.20	Professional		$48.98	$69.18	$91.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $2,137.96	Professional		$67.61	$87.10	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $93.33	Professional		$40.74	$74.13	$93.33
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 $33.88 / $66.07 / $85.11	Professional		$33.88	$66.07	$85.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $89.13	Professional		$29.51	$54.95	$89.13