Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.07 / $20.49 / $24.11	Facility	26	$18.07	$20.49	$24.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $86.31 / $163.97	Professional		$71.84	$86.31	$163.97
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $90.05 / $132.72	Professional		$73.77	$90.05	$132.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $90.68 / $146.00	Professional		$21.73	$90.68	$146.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $117.98 / $137.65	Professional		$108.15	$117.98	$137.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.64 / $21.43 / $25.00	Professional	26	$19.64	$21.43	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $132.72 / $153.65	Professional		$49.15	$132.72	$153.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $142.57 / $194.33	Professional		$85.92	$142.57	$194.33