Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.13 / $42.08 / $49.50	Facility	26	$37.13	$42.08	$49.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $103.79 / $129.28	Professional		$79.12	$103.79	$129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $135.05 / $211.96	Professional		$96.59	$135.05	$211.96
HMSA Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $59.39 / $155.38	Professional		$43.89	$59.39	$155.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.04 / $120.05 / $140.06	Professional		$110.04	$120.05	$140.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.34 / $44.00 / $51.34	Professional	26	$40.34	$44.00	$51.34
United Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $117.81 / $165.79	Professional		$94.87	$117.81	$165.79
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.55 / $162.38 / $273.82	Professional		$121.55	$162.38	$273.82