Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.38 / $58.24 / $68.51	Facility	26	$51.38	$58.24	$68.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $192.06 / $228.05	Professional		$186.16	$192.06	$228.05
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $316.81 / $710.89	Professional		$151.60	$316.81	$710.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $711.16 / $916.30	Professional		$65.16	$711.16	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $142.28 / $166.00	Professional		$130.43	$142.28	$166.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.83 / $60.90 / $71.05	Professional	26	$55.83	$60.90	$71.05
United Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $160.07 / $207.81	Professional		$70.02	$160.07	$207.81
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $223.05 / $808.88	Professional		$146.84	$223.05	$808.88