Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.95 / $64.55 / $75.94	Facility	26	$56.95	$64.55	$75.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $165.45 / $165.45	Professional		$165.45	$165.45	$165.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $247.19 / $368.43	Professional		$181.66	$247.19	$368.43
HMSA Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $328.83 / $360.53	Professional		$71.27	$328.83	$360.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.10 / $327.49 / $382.07	Professional		$281.10	$327.49	$382.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.94 / $67.50 / $78.75	Professional	26	$57.94	$67.50	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $312.86 / $368.43 / $409.34	Professional		$312.86	$368.43	$409.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.23 / $405.01 / $628.79	Professional		$338.23	$405.01	$628.79