Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.25 / $51.28 / $60.33	Facility	26	$45.25	$51.28	$60.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $263.50 / $263.50	Professional		$263.50	$263.50	$263.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.83 / $490.27 / $580.16	Professional		$443.83	$490.27	$580.16
HMSA Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $509.52 / $634.60	Professional		$56.08	$509.52	$634.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.46 / $464.14 / $541.49	Professional		$425.46	$464.14	$541.49
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.16 / $53.63 / $62.57	Professional	26	$49.16	$53.63	$62.57
United Facility/Professional Professional Modifier Low / Median / High Price $227.85 / $607.86 / $687.03	Professional		$227.85	$607.86	$687.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $479.46 / $598.25 / $1,066.11	Professional		$479.46	$598.25	$1,066.11