Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.47 / $57.20 / $67.30	Facility	26	$50.47	$57.20	$67.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $250.90 / $256.43	Professional		$209.05	$250.90	$256.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.96 / $338.35 / $711.01	Professional		$175.96	$338.35	$711.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $710.78 / $916.30	Professional		$64.81	$710.78	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $184.01 / $214.68	Professional		$168.67	$184.01	$214.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.84 / $59.82 / $69.79	Professional	26	$54.84	$59.82	$69.79
United Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $207.01 / $251.72	Professional		$83.30	$207.01	$251.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $270.17 / $808.88	Professional		$189.97	$270.17	$808.88