Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $18.39 / $31.02	Professional		$14.60	$18.39	$31.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $35.69 / $35.96	Professional		$18.57	$35.69	$35.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $28.39 / $42.88	Professional		$24.11	$28.39	$42.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $28.55 / $35.69	Professional		$15.87	$28.55	$35.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,078.00 / $1,078.00	Facility		$1,078.00	$1,078.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $35.69 / $50.06	Professional		$29.12	$35.69	$50.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $26.78 / $40.32	Professional		$13.66	$26.78	$40.32