Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $81.69 / $287.01	Professional		$72.55	$81.69	$287.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $105.24 / $105.24	Professional		$90.34	$105.24	$105.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $125.94 / $148.61	Professional		$112.09	$125.94	$148.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $101.03 / $117.87	Professional		$92.61	$101.03	$117.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $1,981.00 / $1,981.00	Facility		$1,981.00	$1,981.00	$1,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $105.24 / $140.79	Professional		$85.87	$105.24	$140.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $77.08 / $164.80	Professional		$14.51	$77.08	$164.80