Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.49 / $39.08 / $45.98	Facility	26	$34.49	$39.08	$45.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $178.77 / $579.00	Professional		$113.59	$178.77	$579.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.29 / $39.29 / $39.29	Facility	26	$39.29	$39.29	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $147.11 / $290.48	Professional		$90.30	$147.11	$290.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $125.14 / $172.35	Professional		$42.13	$125.14	$172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $147.46 / $172.03	Professional		$135.16	$147.46	$172.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.47 / $40.86 / $47.68	Professional	26	$37.47	$40.86	$47.68
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $165.89 / $201.62	Professional		$121.26	$165.89	$201.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $180.49 / $271.54	Professional		$114.50	$180.49	$271.54