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 $23.99 / $57.54 / $208.93	Professional		$23.99	$57.54	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $186.21	Professional		$32.36	$42.66	$186.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $2,137.96	Professional		$128.82	$169.82	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $47.86	Professional		$23.44	$38.90	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $316.23	Professional		$20.89	$39.81	$316.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $1,412.54 / $3,981.07	Professional		$32.36	$1,412.54	$3,981.07