Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $269.15	Professional		$165.96	$190.55	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $281.84	Professional		$128.82	$234.42	$281.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $257.04	Professional		$52.48	$66.07	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $346.74	Professional		$251.19	$275.42	$346.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $190.55 / $239.88	Professional	26	$173.78	$190.55	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $245.47	Professional		$181.97	$208.93	$245.47
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $288.40	Professional		$114.82	$223.87	$288.40