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 $83.18 / $158.49 / $263.03	Professional		$83.18	$158.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $524.81	Professional		$107.15	$218.78	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $398.11	Professional		$162.18	$204.17	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $251.19 / $354.81	Professional		$93.33	$251.19	$354.81
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 $93.33 / $186.21 / $316.23	Professional		$93.33	$186.21	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,412.54 / $3,981.07	Professional		$117.49	$1,412.54	$3,981.07