Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.91 / $32.76 / $38.54	Facility	26	$28.91	$32.76	$38.54
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 $35.67 / $35.67 / $42.95	Professional	26	$35.67	$35.67	$42.95
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $40.26 / $41.27	Professional	26	$38.45	$40.26	$41.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.41 / $34.26 / $35.69	Professional	26	$31.41	$34.26	$35.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.54 / $43.36 / $49.25	Professional	26	$38.54	$43.36	$49.25
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $35.29 / $42.68 / $49.57	Professional	26	$35.29	$42.68	$49.57