Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $28.18 / $33.11	Facility	26	$24.55	$28.18	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $208.93	Professional		$83.18	$112.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $676.08	Professional		$128.82	$257.04	$676.08
HMSA Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $912.01	Professional		$575.44	$831.76	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $169.82	Professional		$134.90	$144.54	$169.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $31.62 / $36.31	Professional	26	$28.84	$31.62	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $446.68	Professional		$123.03	$181.97	$446.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $758.58	Professional		$141.25	$190.55	$758.58