Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $31.62 / $37.15	Facility	26	$28.18	$31.62	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $158.49	Professional		$58.88	$85.11	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $190.55	Professional		$123.03	$134.90	$190.55
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $169.82	Professional		$114.82	$151.36	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $173.78	Professional		$123.03	$138.04	$173.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $34.67 / $43.65	Professional	26	$30.90	$34.67	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $169.82	Professional		$77.62	$125.89	$169.82
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $234.42	Professional		$77.62	$147.91	$234.42