Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $69.18	Professional		$25.70	$39.81	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $58.88	Professional		$32.36	$45.71	$58.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $2,137.96	Professional		$47.86	$56.23	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $63.10	Professional		$28.18	$50.12	$63.10
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 $23.99 / $45.71 / $57.54	Professional		$23.99	$45.71	$57.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $56.23	Professional		$25.70	$35.48	$56.23