Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.04 / $75.98 / $89.38	Facility	26	$67.04	$75.98	$89.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $168.98 / $168.98	Professional		$96.46	$168.98	$168.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $148.66 / $207.20	Professional		$118.22	$148.66	$207.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $117.96 / $193.97	Professional		$79.36	$117.96	$193.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $165.76 / $193.38	Professional		$151.94	$165.76	$193.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.83 / $79.45 / $92.69	Professional	26	$72.83	$79.45	$92.69
United Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $186.48 / $209.86	Professional		$69.98	$186.48	$209.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $202.76 / $347.23	Professional		$126.71	$202.76	$347.23