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 $245.47 / $309.03 / $478.63	Professional		$245.47	$309.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $758.58	Professional		$281.84	$389.05	$758.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $562.34	Professional		$457.09	$549.54	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $575.44	Professional		$426.58	$501.19	$575.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $93.33 / $107.15	Professional	26	$79.43	$93.33	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $616.60	Professional		$269.15	$512.86	$616.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,000.00	Professional		$501.19	$588.84	$1,000.00