Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.16 / $31.91 / $37.54	Facility	26	$28.16	$31.91	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.58 / $80.50 / $80.50	Professional		$78.58	$80.50	$80.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $122.15 / $234.91	Professional		$72.31	$122.15	$234.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $129.25 / $138.63	Professional		$34.19	$129.25	$138.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $119.22 / $139.09	Professional		$109.29	$119.22	$139.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.59 / $33.36 / $38.93	Professional	26	$30.59	$33.36	$38.93
United Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $134.12 / $162.35	Professional		$97.80	$134.12	$162.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $156.63 / $205.77	Professional		$123.09	$156.63	$205.77