Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $71.05 / $94.62	Professional		$62.08	$71.05	$94.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $95.14 / $158.63	Professional		$73.45	$95.14	$158.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $78.48 / $106.74	Professional		$22.81	$78.48	$106.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $86.42 / $100.83	Professional		$76.34	$86.42	$100.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $18.82 / $21.31 / $24.86	Professional	26	$18.82	$21.31	$24.86
United Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $78.28 / $121.92	Professional		$62.47	$78.28	$121.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $86.18 / $349.30	Professional		$52.92	$86.18	$349.30