Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $35.88 / $40.67 / $47.84	Facility	26	$35.88	$40.67	$47.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $125.95 / $215.86	Professional		$125.95	$125.95	$215.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $134.72 / $296.58	Professional		$134.72	$134.72	$296.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $218.15 / $267.41	Professional		$48.41	$218.15	$267.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $222.24 / $231.50	Professional		$203.72	$222.24	$231.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.97 / $42.53 / $44.30	Professional	26	$38.97	$42.53	$44.30
United Facility/Professional Professional Modifier Low / Median / High Price $234.03 / $250.02 / $320.77	Professional		$234.03	$250.02	$320.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $187.21 / $278.01 / $494.68	Professional		$187.21	$278.01	$494.68