Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.72 / $59.75 / $70.29	Facility	26	$52.72	$59.75	$70.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.50 / $327.54 / $710.74	Professional		$156.50	$327.54	$710.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $711.64 / $916.30	Professional		$65.59	$711.64	$916.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $159.69 / $186.31	Professional		$146.38	$159.69	$186.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.28 / $62.48 / $72.90	Professional	26	$57.28	$62.48	$72.90
United Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $179.66 / $229.68	Professional		$76.42	$179.66	$229.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $228.39 / $808.88	Professional		$164.85	$228.39	$808.88