Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.58 / $112.86 / $132.77	Facility	26	$99.58	$112.86	$132.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $494.18 / $607.01	Professional		$475.00	$494.18	$607.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.82 / $113.82 / $113.82	Facility	26	$113.82	$113.82	$113.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.03 / $434.85 / $550.29	Professional		$419.03	$434.85	$550.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $1,006.08 / $1,252.19	Professional		$117.32	$1,006.08	$1,252.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.55 / $440.23 / $513.60	Professional		$403.55	$440.23	$513.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.19 / $118.02 / $137.69	Professional	26	$108.19	$118.02	$137.69
United Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $495.26 / $823.51	Professional		$212.28	$495.26	$823.51
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $469.19 / $636.29 / $893.70	Professional		$469.19	$636.29	$893.70