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 $155.65 / $155.65 / $155.65	Professional		$155.65	$155.65	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $204.59 / $361.88	Professional		$148.60	$204.59	$361.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $172.01 / $475.54	Professional		$108.27	$172.01	$475.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.06 / $321.67 / $375.28	Professional		$268.06	$321.67	$375.28
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 $257.18 / $361.88 / $368.94	Professional		$257.18	$361.88	$368.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $319.75 / $395.28 / $519.47	Professional		$319.75	$395.28	$519.47