Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.00 / $96.33 / $113.33	Facility	26	$85.00	$96.33	$113.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $161.32 / $927.55	Professional		$133.50	$161.32	$927.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.73 / $96.73 / $96.73	Facility	26	$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $243.08 / $493.38	Professional		$150.41	$243.08	$493.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $135.00 / $297.31	Professional		$92.20	$135.00	$297.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.11 / $241.21 / $281.41	Professional		$221.11	$241.21	$281.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $92.35 / $100.74 / $117.53	Professional	26	$92.35	$100.74	$117.53
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $271.36 / $331.97	Professional		$202.46	$271.36	$331.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $266.98 / $524.77	Professional		$180.21	$266.98	$524.77