Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.51 / $134.31 / $158.02	Facility	26	$118.51	$134.31	$158.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.43 / $135.43 / $135.43	Facility	26	$135.43	$135.43	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.96 / $497.65 / $679.86	Professional		$433.96	$497.65	$679.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $612.48 / $657.88	Professional		$143.03	$612.48	$657.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.60 / $385.74 / $450.03	Professional		$353.60	$385.74	$450.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $128.76 / $140.46 / $163.87	Professional	26	$128.76	$140.46	$163.87
United Facility/Professional Professional Modifier Low / Median / High Price $305.37 / $794.79 / $913.56	Professional		$305.37	$794.79	$913.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.20 / $490.51 / $967.29	Professional		$398.20	$490.51	$967.29