Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.19 / $69.34 / $81.58	Facility	26	$61.19	$69.34	$81.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $136.03 / $299.99	Professional		$108.42	$136.03	$299.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.28 / $70.28 / $70.28	Facility	26	$70.28	$70.28	$70.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $204.34 / $334.14	Professional		$118.44	$204.34	$334.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $106.35 / $231.34	Professional		$69.80	$106.35	$231.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $219.02 / $255.53	Professional		$200.77	$219.02	$255.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.47 / $72.52 / $84.60	Professional	26	$66.47	$72.52	$84.60
United Facility/Professional Professional Modifier Low / Median / High Price $145.80 / $237.96 / $246.40	Professional		$145.80	$237.96	$246.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $226.14 / $372.74	Professional		$139.52	$226.14	$372.74