Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.03 / $27.23 / $32.04	Facility	26	$24.03	$27.23	$32.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $166.25 / $166.25	Professional		$92.97	$166.25	$166.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $87.56 / $196.36	Professional		$72.55	$87.56	$196.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $86.02 / $206.59	Professional		$27.84	$86.02	$206.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $174.54 / $203.63	Professional		$160.00	$174.54	$203.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.10 / $28.48 / $33.22	Professional	26	$26.10	$28.48	$33.22
United Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $196.36 / $556.95	Professional		$70.72	$196.36	$556.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $146.34 / $237.73	Professional		$22.56	$146.34	$237.73