Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.23 / $98.86 / $116.30	Facility	26	$87.23	$98.86	$116.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $118.75 / $291.50	Professional	26	$90.00	$118.75	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.02 / $106.02 / $127.25	Professional	26	$106.02	$106.02	$127.25
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $113.91 / $119.28 / $122.26	Professional	26	$113.91	$119.28	$122.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $94.77 / $103.38 / $107.69	Professional	26	$94.77	$103.38	$107.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.30 / $129.09 / $145.88	Professional	26	$116.30	$129.09	$145.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $106.53 / $126.99 / $149.66	Professional	26	$106.53	$126.99	$149.66