Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.17 / $82.93 / $97.56	Facility	26	$73.17	$82.93	$97.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.26 / $445.36 / $1,004.81	Professional		$327.26	$445.36	$1,004.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.33 / $306.86 / $807.50	Professional		$208.33	$306.86	$807.50
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $387.20 / $770.73	Professional		$91.87	$387.20	$770.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.09 / $717.78 / $837.41	Professional		$616.09	$717.78	$837.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.44 / $86.72 / $101.18	Professional	26	$74.44	$86.72	$101.18
United Facility/Professional Professional Modifier Low / Median / High Price $328.75 / $802.85 / $807.50	Professional		$328.75	$802.85	$807.50
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.48 / $679.57 / $1,145.60	Professional		$288.48	$679.57	$1,145.60