Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $58.31 / $120.94	Professional		$39.46	$58.31	$120.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $77.88 / $108.55	Professional		$30.76	$77.88	$108.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $76.50 / $114.48	Professional		$22.40	$76.50	$114.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $104.21 / $121.58	Professional		$95.52	$104.21	$121.58
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 $82.13 / $108.55 / $154.97	Professional		$82.13	$108.55	$154.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $84.55 / $123.34	Professional		$31.60	$84.55	$123.34