Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.75 / $85.84 / $100.99	Facility	26	$75.75	$85.84	$100.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $138.21 / $152.04	Professional		$99.18	$138.21	$152.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $160.49 / $214.88	Professional		$115.37	$160.49	$214.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $135.65 / $206.75	Professional		$94.08	$135.65	$206.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $191.00 / $222.84	Professional		$163.95	$191.00	$222.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.05 / $89.77 / $104.73	Professional	26	$77.05	$89.77	$104.73
United Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $214.88 / $249.62	Professional		$200.52	$214.88	$249.62
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $233.83 / $406.80	Professional		$197.15	$233.83	$406.80