Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $112.20 / $131.83	Facility	26	$100.00	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $575.44	Professional		$295.12	$398.11	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,258.93	Professional		$891.25	$1,122.02	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $512.86	Professional		$380.19	$436.52	$512.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $117.49 / $138.04	Professional	26	$102.33	$117.49	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,122.02	Professional		$407.38	$776.25	$1,122.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $891.25	Professional		$467.74	$630.96	$891.25