Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $290.41 / $329.13 / $387.21	Facility	26	$290.41	$329.13	$387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.29 / $1,001.35 / $1,634.44	Professional		$606.29	$1,001.35	$1,634.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.26 / $1,006.05 / $1,332.14	Professional		$735.26	$1,006.05	$1,332.14
HMSA Facility/Professional Professional Modifier Low / Median / High Price $350.78 / $1,222.45 / $1,286.95	Professional		$350.78	$1,222.45	$1,286.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.37 / $1,184.11 / $1,381.48	Professional		$1,016.37	$1,184.11	$1,381.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $295.42 / $344.18 / $401.55	Professional	26	$295.42	$344.18	$401.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,269.19 / $1,332.14 / $1,533.92	Professional		$1,269.19	$1,332.14	$1,533.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,216.63 / $1,449.63 / $2,533.73	Professional		$1,216.63	$1,449.63	$2,533.73