Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $125.89 / $147.91	Facility	26	$109.65	$125.89	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $1,023.29	Professional		$302.00	$426.58	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $812.83	Professional		$501.19	$724.44	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $426.58	Professional		$316.23	$363.08	$426.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $131.83 / $154.88	Professional	26	$112.20	$131.83	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $707.95	Professional		$331.13	$478.63	$707.95
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $933.25	Professional		$389.05	$501.19	$933.25