Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $70.79	Professional		$44.67	$52.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $147.91	Professional		$53.70	$67.61	$147.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $72.44 / $77.62	Professional		$23.44	$72.44	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $95.50	Professional		$63.10	$75.86	$95.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.20 / $22.91	Professional	26	$15.14	$18.20	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $102.33	Professional		$47.86	$63.10	$102.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $79.43	Professional		$41.69	$67.61	$79.43