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 $100.00 / $181.97 / $281.84	Professional		$100.00	$181.97	$281.84
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 $109.65 / $229.09 / $549.54	Professional		$109.65	$229.09	$549.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $416.87	Professional		$169.82	$199.53	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $263.03 / $371.54	Professional		$107.15	$263.03	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $323.59	Professional		$109.65	$194.98	$323.59
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,412.54 / $3,981.07	Professional		$138.04	$1,412.54	$3,981.07