Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.59 / $158.21 / $186.12	Facility	26	$139.59	$158.21	$186.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $494.18 / $754.50	Professional		$250.00	$494.18	$754.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $810.04 / $918.57	Professional		$564.82	$810.04	$918.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $1,201.96 / $1,441.90	Professional		$178.14	$1,201.96	$1,441.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.03 / $548.76 / $640.22	Professional		$503.03	$548.76	$640.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $151.66 / $165.44 / $193.02	Professional	26	$151.66	$165.44	$193.02
United Facility/Professional Professional Modifier Low / Median / High Price $272.42 / $617.36 / $841.08	Professional		$272.42	$617.36	$841.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $600.94 / $824.26 / $1,388.28	Professional		$600.94	$824.26	$1,388.28