Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $59.75 / $154.10	Professional		$40.61	$59.75	$154.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $79.79 / $123.43	Professional		$35.56	$79.79	$123.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $90.96 / $131.63	Professional		$22.86	$90.96	$131.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $118.49 / $138.24	Professional		$108.61	$118.49	$138.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.33 / $23.27 / $27.15	Professional	26	$21.33	$23.27	$27.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $122.25 / $164.26	Professional		$97.60	$122.25	$164.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $98.00 / $142.96	Professional		$31.60	$98.00	$142.96