Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.39 / $58.25 / $68.53	Facility	26	$51.39	$58.25	$68.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $199.21 / $230.92	Professional		$188.50	$199.21	$230.92
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.14 / $61.14 / $61.14	Facility	26	$61.14	$61.14	$61.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $316.33 / $710.14	Professional		$154.44	$316.33	$710.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $710.30 / $916.30	Professional		$64.38	$710.30	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $147.19 / $171.74	Professional		$134.94	$147.19	$171.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $55.84 / $60.91 / $71.06	Professional	26	$55.84	$60.91	$71.06
United Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $165.60 / $216.22	Professional		$72.72	$165.60	$216.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $222.77 / $808.88	Professional		$151.91	$222.77	$808.88