Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.87 / $24.79 / $29.16	Facility	26	$21.87	$24.79	$29.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.91 / $170.92 / $170.92	Professional		$170.91	$170.92	$170.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.97 / $281.69 / $329.68	Professional		$191.97	$281.69	$329.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $170.66 / $360.09	Professional		$29.58	$170.66	$360.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.63 / $293.05 / $341.89	Professional		$268.63	$293.05	$341.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.76 / $25.92 / $30.24	Professional	26	$23.76	$25.92	$30.24
United Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $329.68 / $375.86	Professional		$242.66	$329.68	$375.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $302.75 / $473.43	Professional		$148.29	$302.75	$473.43