Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.81 / $25.85 / $30.42	Facility	26	$22.81	$25.85	$30.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.93 / $131.93 / $131.93	Professional		$131.93	$131.93	$131.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $144.22 / $317.22	Professional		$144.22	$144.22	$317.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $231.63 / $278.33	Professional		$29.58	$231.63	$278.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $236.18 / $246.03	Professional		$216.50	$236.18	$246.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $27.04 / $28.16	Professional	26	$24.78	$27.04	$28.16
United Facility/Professional Professional Modifier Low / Median / High Price $224.68 / $265.70 / $340.64	Professional		$224.68	$265.70	$340.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $295.22 / $532.34	Professional		$203.19	$295.22	$532.34