Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.25 / $77.34 / $91.00	Facility	26	$68.25	$77.34	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $336.44 / $370.09	Professional		$194.47	$336.44	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $412.26 / $472.07	Professional		$383.00	$412.26	$472.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $537.87 / $599.99	Professional		$89.31	$537.87	$599.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.07 / $340.44 / $354.63	Professional		$312.07	$340.44	$354.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.15 / $80.89 / $84.26	Professional	26	$74.15	$80.89	$84.26
United Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $494.67 / $497.85	Professional		$383.00	$494.67	$497.85
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $351.55 / $465.28 / $804.03	Professional		$351.55	$465.28	$804.03