Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.05 / $22.72 / $26.73	Facility	26	$20.05	$22.72	$26.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Professional		$128.52	$128.52	$128.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $119.13 / $302.66	Professional		$119.13	$119.13	$302.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $208.59 / $270.92	Professional		$30.97	$208.59	$270.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $230.23 / $239.83	Professional		$211.05	$230.23	$239.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.78 / $23.76 / $24.75	Professional	26	$21.78	$23.76	$24.75
United Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $259.01 / $332.96	Professional		$202.01	$259.01	$332.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $288.18 / $519.13	Professional		$168.00	$288.18	$519.13