Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $99.23 / $112.46 / $132.30	Facility	26	$99.23	$112.46	$132.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $233.65 / $257.01	Professional		$204.16	$233.65	$257.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.49 / $267.55 / $476.21	Professional		$194.49	$267.55	$476.21
HMSA Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $251.98 / $559.88	Professional		$127.07	$251.98	$559.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.75 / $423.30 / $493.85	Professional		$352.75	$423.30	$493.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.94 / $117.60 / $137.19	Professional	26	$100.94	$117.60	$137.19
United Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $476.21 / $483.83	Professional		$336.51	$476.21	$483.83
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $520.13 / $676.15	Professional		$419.32	$520.13	$676.15