Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $61.66 / $72.44	Facility	26	$54.95	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $501.19	Professional		$239.88	$295.12	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $467.74 / $776.25	Professional		$229.09	$467.74	$776.25
HMSA Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $549.54	Professional		$389.05	$537.03	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $489.78	Professional		$380.19	$416.87	$489.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $64.57 / $75.86	Professional	26	$60.26	$64.57	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $616.60	Professional		$275.42	$389.05	$616.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $851.14	Professional		$316.23	$512.86	$851.14