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 $117.49 / $141.25 / $208.93	Professional		$117.49	$141.25	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $208.93	Professional		$147.91	$158.49	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $2,630.27	Professional		$199.53	$229.09	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $239.88	Professional		$154.88	$190.55	$239.88
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 $107.15 / $158.49 / $208.93	Professional		$107.15	$158.49	$208.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $4,073.80 / $5,623.41	Professional		$117.49	$4,073.80	$5,623.41