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 $177.83 / $204.17 / $275.42	Professional		$177.83	$204.17	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $281.84	Professional		$199.53	$234.42	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $363.08	Professional		$281.84	$316.23	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $295.12	Professional		$208.93	$234.42	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,548.82 / $3,981.07	Professional		$275.42	$1,548.82	$3,981.07