Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.14 / $54.56 / $64.19	Facility	26	$48.14	$54.56	$64.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $292.52 / $292.52	Professional		$292.52	$292.52	$292.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.81 / $55.81 / $55.81	Facility	26	$55.81	$55.81	$55.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.36 / $551.59 / $665.90	Professional		$499.36	$551.59	$665.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $661.20 / $839.33	Professional		$62.14	$661.20	$839.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.69 / $522.20 / $609.24	Professional		$478.69	$522.20	$609.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.31 / $57.06 / $66.56	Professional	26	$52.31	$57.06	$66.56
United Facility/Professional Professional Modifier Low / Median / High Price $249.02 / $587.48 / $751.85	Professional		$249.02	$587.48	$751.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $539.44 / $702.89 / $1,303.99	Professional		$539.44	$702.89	$1,303.99