Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $108.35 / $207.31	Professional		$81.40	$108.35	$207.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $135.38 / $165.91	Professional		$113.83	$135.38	$165.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $98.30 / $192.59	Professional		$72.66	$98.30	$192.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $159.28 / $185.82	Professional		$146.00	$159.28	$185.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.90 / $72.98 / $85.15	Professional	26	$66.90	$72.98	$85.15
United Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $143.82 / $237.29	Professional		$135.38	$143.82	$237.29
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $153.27 / $201.98	Professional		$100.83	$153.27	$201.98