Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $179.57 / $278.97	Professional		$154.91	$179.57	$278.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $193.28 / $275.58	Professional		$138.36	$193.28	$275.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $122.24 / $225.11	Professional		$80.98	$122.24	$225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $206.68 / $241.12	Professional		$175.67	$206.68	$241.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.34 / $107.46 / $125.37	Professional	26	$91.34	$107.46	$125.37
United Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $215.29 / $414.58	Professional		$154.28	$215.29	$414.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $224.04 / $22,500.00	Professional		$180.55	$224.04	$22,500.00