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 $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.22 / $566.37 / $741.18	Professional		$444.22	$566.37	$741.18
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 $399.38 / $435.68 / $508.30	Professional		$399.38	$435.68	$508.30
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 $212.38 / $490.14 / $664.91	Professional		$212.38	$490.14	$664.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $449.95 / $698.28 / $1,059.33	Professional		$449.95	$698.28	$1,059.33