Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $97.51 / $192.41	Professional		$68.20	$97.51	$192.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $119.79 / $146.80	Professional		$113.43	$119.79	$146.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $78.20 / $148.24	Professional		$58.99	$78.20	$148.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $140.93 / $164.42	Professional		$129.18	$140.93	$164.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.99 / $59.99 / $69.98	Professional	26	$54.99	$59.99	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $146.80 / $201.77	Professional		$119.79	$146.80	$201.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $119.84 / $159.79	Professional		$90.20	$119.84	$159.79