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 / $475.00 / $494.18	Professional		$250.00	$475.00	$494.18
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 $379.27 / $566.37 / $753.71	Professional		$379.27	$566.37	$753.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $775.24 / $967.18	Professional		$91.21	$775.24	$967.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $344.70 / $402.15	Professional		$315.98	$344.70	$402.15
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 $166.65 / $387.79 / $820.74	Professional		$166.65	$387.79	$820.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.93 / $651.72 / $1,000.58	Professional		$355.93	$651.72	$1,000.58