Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $38.90 / $45.71	Facility	26	$34.67	$38.90	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $331.13	Professional		$158.49	$199.53	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $524.81	Professional		$177.83	$316.23	$524.81
HMSA Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $371.54	Professional		$316.23	$371.54	$371.54
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 $38.02 / $40.74 / $47.86	Professional	26	$38.02	$40.74	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $416.87	Professional		$169.82	$257.04	$416.87
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $562.34	Professional		$239.88	$354.81	$562.34