Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $85.11 / $100.00	Facility	26	$75.86	$85.11	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $302.00	Professional		$144.54	$204.17	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $407.38	Professional		$147.91	$204.17	$407.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $416.87	Professional		$295.12	$331.13	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $389.05	Professional		$275.42	$331.13	$389.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $91.20 / $107.15	Professional	26	$79.43	$91.20	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $371.54	Professional		$141.25	$269.15	$371.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $524.81	Professional		$316.23	$398.11	$524.81