Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.64 / $31.33 / $36.86	Facility	26	$27.64	$31.33	$36.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $72.31 / $369.00	Professional		$59.67	$72.31	$369.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.61 / $31.61 / $31.61	Facility	26	$31.61	$31.61	$31.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $98.82 / $183.33	Professional		$54.65	$98.82	$183.33
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $125.14 / $132.06	Professional		$35.75	$125.14	$132.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $87.84 / $102.48	Professional		$80.52	$87.84	$102.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.03 / $32.76 / $38.22	Professional	26	$30.03	$32.76	$38.22
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $105.93 / $123.05	Professional		$74.70	$105.93	$123.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $120.58 / $204.98	Professional		$69.73	$120.58	$204.98