Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.43 / $29.95 / $35.24	Facility	26	$26.43	$29.95	$35.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $81.69 / $303.29	Professional		$43.52	$81.69	$303.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $68.09 / $125.20	Professional		$38.46	$68.09	$125.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $81.48 / $97.40	Professional		$33.75	$81.48	$97.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $60.53 / $70.62	Professional		$55.48	$60.53	$70.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.71 / $31.32 / $36.54	Professional	26	$28.71	$31.32	$36.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $68.09 / $86.05	Professional		$53.05	$68.09	$86.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $81.56 / $142.29	Professional		$48.39	$81.56	$142.29