Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.08 / $65.81 / $77.44	Facility	26	$58.08	$65.81	$77.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $353.69 / $822.90	Professional		$300.74	$353.69	$822.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $281.00 / $660.95	Professional		$278.94	$281.00	$660.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $406.18 / $657.57	Professional		$69.19	$406.18	$657.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.59 / $587.51 / $685.43	Professional		$489.59	$587.51	$685.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.08 / $68.83 / $80.30	Professional	26	$59.08	$68.83	$80.30
United Facility/Professional Professional Modifier Low / Median / High Price $405.99 / $660.95 / $804.64	Professional		$405.99	$660.95	$804.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $392.49 / $613.16 / $1,221.14	Professional		$392.49	$613.16	$1,221.14