Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.20 / $94.29 / $110.93	Facility	26	$83.20	$94.29	$110.93
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 $108.36 / $108.36 / $126.06	Professional	26	$108.36	$108.36	$126.06
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $124.75 / $130.63 / $133.90	Professional	26	$124.75	$130.63	$133.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.39 / $98.60 / $115.04	Professional	26	$90.39	$98.60	$115.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $110.93 / $124.73 / $137.28	Professional	26	$110.93	$124.73	$137.28
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $101.61 / $128.59 / $216.43	Professional	26	$101.61	$128.59	$216.43