Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.69 / $236.09 / $361.64	Professional		$203.69	$236.09	$361.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $275.13 / $275.13	Professional		$191.62	$275.13	$275.13
HMSA Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $341.89 / $2,077.00	Professional		$137.31	$341.89	$2,077.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.11 / $264.12 / $308.14	Professional		$242.11	$264.12	$308.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $80.22 / $87.52 / $102.10	Professional	26	$80.22	$87.52	$102.10
United Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $275.13 / $358.71	Professional		$224.50	$275.13	$358.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $223.54 / $336.63	Professional		$29.27	$223.54	$336.63