Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $63.10 / $74.13	Facility	26	$54.95	$63.10	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $323.59	Professional		$151.36	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $489.78	Professional		$302.00	$346.74	$489.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $512.86	Professional		$416.87	$457.09	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $323.59	Professional		$257.04	$281.84	$323.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $66.07 / $77.62	Professional	26	$61.66	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $407.38	Professional		$186.21	$389.05	$407.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $660.69	Professional		$281.84	$371.54	$660.69