Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $101.11 / $114.59 / $134.81	Facility	26	$101.11	$114.59	$134.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $180.95 / $281.97	Professional		$159.43	$180.95	$281.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.31 / $324.98 / $505.95	Professional		$185.31	$324.98	$505.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $168.80 / $380.79	Professional		$114.86	$168.80	$380.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $333.24 / $388.78	Professional		$305.47	$333.24	$388.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.85 / $119.83 / $139.80	Professional	26	$109.85	$119.83	$139.80
United Facility/Professional Professional Modifier Low / Median / High Price $206.95 / $303.16 / $415.71	Professional		$206.95	$303.16	$415.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.97 / $347.31 / $533.65	Professional		$229.97	$347.31	$533.65