Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.89 / $86.01 / $101.18	Facility	26	$75.89	$86.01	$101.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $494.18 / $577.39	Professional		$250.00	$494.18	$577.39
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.80 / $86.80 / $86.80	Facility	26	$86.80	$86.80	$86.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $520.77 / $679.20	Professional		$414.29	$520.77	$679.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $668.69 / $815.45	Professional		$90.65	$668.69	$815.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.90 / $416.62 / $486.05	Professional		$381.90	$416.62	$486.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.45 / $89.94 / $104.93	Professional	26	$82.45	$89.94	$104.93
United Facility/Professional Professional Modifier Low / Median / High Price $202.41 / $468.69 / $633.12	Professional		$202.41	$468.69	$633.12
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $594.01 / $840.37	Professional		$430.24	$594.01	$840.37