Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $64.57	Professional		$38.90	$48.98	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $199.53	Professional		$53.70	$67.61	$199.53
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $114.82 / $151.36	Professional		$5.37	$114.82	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $89.13	Professional		$58.88	$70.79	$89.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.63 / $4.37 / $5.50	Professional	26	$3.63	$4.37	$5.50
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $117.49	Professional		$46.77	$63.10	$117.49
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $107.15	Professional		$42.66	$57.54	$107.15