Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.17 / $43.26 / $50.90	Facility	26	$38.17	$43.26	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.51 / $204.51 / $204.51	Professional		$204.51	$204.51	$204.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.36 / $344.36 / $575.64	Professional		$344.36	$344.36	$575.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $425.25 / $507.65	Professional		$48.71	$425.25	$507.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $352.96 / $367.66	Professional		$323.54	$352.96	$367.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $45.24 / $47.13	Professional	26	$41.47	$45.24	$47.13
United Facility/Professional Professional Modifier Low / Median / High Price $397.08 / $437.51 / $530.28	Professional		$397.08	$437.51	$530.28
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.60 / $459.58 / $848.77	Professional		$323.60	$459.58	$848.77