Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.45 / $37.90 / $44.60	Facility	26	$33.45	$37.90	$44.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $154.22 / $538.00	Professional		$82.21	$154.22	$538.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.15 / $38.15 / $38.15	Facility	26	$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $118.78 / $224.07	Professional		$69.45	$118.78	$224.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $122.93 / $138.51	Professional		$43.79	$122.93	$138.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.18 / $112.56 / $131.32	Professional		$103.18	$112.56	$131.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.34 / $39.65 / $46.26	Professional	26	$36.34	$39.65	$46.26
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $126.63 / $151.88	Professional		$92.03	$126.63	$151.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $148.63 / $240.93	Professional		$116.20	$148.63	$240.93