Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.71 / $9.77 / $11.48	Facility	26	$8.71	$9.77	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $114.82	Professional		$52.48	$66.07	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $177.83	Professional		$95.50	$120.23	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $141.25	Professional		$114.82	$134.90	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $125.89	Professional		$97.72	$107.15	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.47 / $12.30	Professional	26	$9.77	$10.47	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $141.25	Professional		$61.66	$120.23	$141.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $218.78	Professional		$112.20	$138.04	$218.78