Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $616.60	Professional		$181.97	$398.11	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $575.44	Professional		$263.03	$363.08	$575.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $478.63 / $537.03	Professional		$141.25	$478.63	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $645.65	Professional		$478.63	$512.86	$645.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $109.65 / $134.90	Professional	26	$100.00	$109.65	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $575.44	Professional		$295.12	$457.09	$575.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $363.08 / $660.69	Professional		$29.51	$363.08	$660.69