Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.27 / $30.90 / $36.36	Facility	26	$27.27	$30.90	$36.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $112.73 / $225.49	Professional		$92.42	$112.73	$225.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.24 / $131.88 / $182.61	Professional		$112.24	$131.88	$182.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $153.11 / $198.17	Professional		$31.18	$153.11	$198.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $162.32 / $189.38	Professional		$148.80	$162.32	$189.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $32.32 / $37.70	Professional	26	$29.62	$32.32	$37.70
United Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $182.61 / $217.91	Professional		$69.91	$182.61	$217.91
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $194.55 / $277.89	Professional		$127.21	$194.55	$277.89