Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.72 / $25.75 / $30.29	Facility	26	$22.72	$25.75	$30.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $108.66 / $108.66	Professional		$60.22	$108.66	$108.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.82 / $25.82 / $25.82	Facility	26	$25.82	$25.82	$25.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $88.47 / $130.94	Professional		$57.32	$88.47	$130.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $76.56 / $128.53	Professional		$26.66	$76.56	$128.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $104.75 / $122.21	Professional		$96.02	$104.75	$122.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.68 / $26.93 / $31.42	Professional	26	$24.68	$26.93	$31.42
United Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $117.84 / $154.56	Professional		$49.91	$117.84	$154.56
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $128.61 / $244.32	Professional		$78.23	$128.61	$244.32