Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.29 / $26.39 / $31.05	Facility	26	$23.29	$26.39	$31.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $48.94 / $48.94	Professional		$47.74	$48.94	$48.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.43 / $28.43 / $28.43	Facility	26	$28.43	$28.43	$28.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $74.84 / $141.44	Professional		$47.97	$74.84	$141.44
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $65.81 / $88.44	Professional		$29.31	$65.81	$88.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $75.98 / $88.65	Professional		$69.65	$75.98	$88.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.30 / $27.60 / $32.20	Professional	26	$25.30	$27.60	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $85.48 / $99.15	Professional		$60.27	$85.48	$99.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $100.92 / $124.98	Professional		$78.44	$100.92	$124.98