Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $70.79	Professional		$42.66	$52.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $208.93	Professional		$52.48	$72.44	$208.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $158.49 / $199.53	Professional		$15.49	$158.49	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.02 / $14.79	Professional	26	$10.00	$12.02	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $144.54	Professional		$48.98	$61.66	$144.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $125.89	Professional		$46.77	$64.57	$125.89