Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $55.14 / $62.49 / $73.52	Facility	26	$55.14	$62.49	$73.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $153.87 / $153.87	Professional		$153.87	$153.87	$153.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $347.77 / $368.60	Professional		$304.79	$347.77	$368.60
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $454.06 / $511.23	Professional		$72.28	$454.06	$511.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $270.92 / $282.20	Professional		$248.35	$270.92	$282.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.91 / $65.34 / $68.08	Professional	26	$59.91	$65.34	$68.08
United Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $389.09 / $406.97	Professional		$304.79	$389.09	$406.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $279.77 / $388.79 / $646.21	Professional		$279.77	$388.79	$646.21