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 $70.79 / $162.18 / $436.52	Professional		$70.79	$162.18	$436.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $645.65 / $1,778.28	Professional	50	$144.54	$645.65	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $234.42	Professional		$97.72	$177.83	$234.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $2,137.96	Professional		$125.89	$154.88	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $194.98 / $245.47	Professional		$81.28	$194.98	$245.47
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 / $134.90 / $263.03	Professional		$67.61	$134.90	$263.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $2,041.74 / $3,981.07	Professional		$97.72	$2,041.74	$3,981.07