Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $38.02 / $44.67	Facility	26	$33.11	$38.02	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $371.54	Professional		$75.86	$107.15	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $223.87	Professional		$61.66	$112.20	$223.87
HMSA Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $141.25	Professional		$57.54	$123.03	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $138.04	Professional		$109.65	$117.49	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $40.74 / $47.86	Professional	26	$38.02	$40.74	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $181.97	Professional		$91.20	$125.89	$181.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $239.88	Professional		$117.49	$147.91	$239.88