Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.56 / $61.84 / $72.75	Facility	26	$54.56	$61.84	$72.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $134.19 / $143.54	Professional		$93.54	$134.19	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $156.78 / $192.79	Professional		$108.64	$156.78	$192.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $228.80 / $246.40	Professional		$68.84	$228.80	$246.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $139.36 / $162.58	Professional		$127.74	$139.36	$162.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.28 / $64.67 / $75.45	Professional	26	$59.28	$64.67	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $156.78 / $201.10	Professional		$133.26	$156.78	$201.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $206.63 / $326.32	Professional		$137.22	$206.63	$326.32