Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.59 / $58.47 / $68.78	Facility	26	$51.59	$58.47	$68.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $204.88 / $232.82	Professional		$86.12	$204.88	$232.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $330.28 / $711.61	Professional		$156.44	$330.28	$711.61
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $715.11 / $7,137.00	Professional		$65.69	$715.11	$7,137.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $151.21 / $176.41	Professional		$138.61	$151.21	$176.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.05 / $61.14 / $71.33	Professional	26	$56.05	$61.14	$71.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $170.11 / $216.07	Professional		$72.22	$170.11	$216.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $226.19 / $808.88	Professional		$156.08	$226.19	$808.88