Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.04 / $124.71 / $146.72	Facility	26	$110.04	$124.71	$146.72
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 $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $480.13 / $568.02	Professional		$348.00	$480.13	$568.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $709.35 / $806.58	Professional		$133.38	$709.35	$806.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.26 / $359.20 / $419.06	Professional		$329.26	$359.20	$419.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $119.55 / $130.41 / $152.15	Professional	26	$119.55	$130.41	$152.15
United Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $404.10 / $537.73	Professional		$176.11	$404.10	$537.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $391.89 / $519.79 / $878.57	Professional		$391.89	$519.79	$878.57