Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.16 / $77.25 / $90.88	Facility	26	$68.16	$77.25	$90.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $522.50 / $522.50	Professional		$159.77	$522.50	$522.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.34 / $78.34 / $78.34	Facility	26	$78.34	$78.34	$78.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.55 / $274.16 / $346.82	Professional		$263.55	$274.16	$346.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $509.68 / $602.55	Professional		$81.19	$509.68	$602.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $277.45 / $323.69	Professional		$254.33	$277.45	$323.69
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.05 / $80.78 / $94.25	Professional	26	$74.05	$80.78	$94.25
United Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $312.13 / $791.73	Professional		$134.29	$312.13	$791.73
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $377.97 / $561.26	Professional		$294.66	$377.97	$561.26