Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.55 / $86.75 / $102.06	Facility	26	$76.55	$86.75	$102.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $484.43 / $522.50	Professional		$475.00	$484.43	$522.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $87.60	Facility	26	$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.32 / $564.32 / $733.01	Professional		$385.32	$564.32	$733.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $775.72 / $967.18	Professional		$91.66	$775.72	$967.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $350.94 / $409.43	Professional		$321.70	$350.94	$409.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.16 / $90.72 / $105.84	Professional	26	$83.16	$90.72	$105.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.32 / $394.81 / $591.11	Professional		$169.32	$394.81	$591.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $643.61 / $1,000.58	Professional		$362.38	$643.61	$1,000.58