Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $175.41 / $385.48	Professional		$132.79	$175.41	$385.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.73 / $232.49 / $294.35	Professional		$223.73	$232.49	$294.35
HMSA Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $174.25 / $326.55	Professional		$124.99	$174.25	$326.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.02 / $282.58 / $329.67	Professional		$259.02	$282.58	$329.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $113.70 / $124.03 / $144.69	Professional	26	$113.70	$124.03	$144.69
United Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $294.35 / $420.27	Professional		$240.19	$294.35	$420.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $231.10 / $337.13	Professional		$190.32	$231.10	$337.13