Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.14 / $48.89 / $57.52	Facility	26	$43.14	$48.89	$57.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.75 / $49.75 / $49.75	Facility	26	$49.75	$49.75	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $192.62 / $296.57	Professional		$117.25	$192.62	$296.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $297.55 / $345.75	Professional		$51.23	$297.55	$345.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.06 / $141.88 / $165.54	Professional		$130.06	$141.88	$165.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.87 / $51.13 / $59.65	Professional	26	$46.87	$51.13	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $159.62 / $246.10	Professional		$61.61	$159.62	$246.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $216.76 / $375.70	Professional		$146.38	$216.76	$375.70