Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.48 / $77.62 / $91.31	Facility	26	$68.48	$77.62	$91.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $104.42 / $291.50	Professional	26	$90.00	$104.42	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $91.31 / $99.54	Professional	26	$91.31	$91.31	$99.54
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $95.95 / $100.47 / $102.98	Professional	26	$95.95	$100.47	$102.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.40 / $81.17 / $84.55	Professional	26	$74.40	$81.17	$84.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.31 / $93.49 / $113.16	Professional	26	$91.31	$93.49	$113.16
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $78.12 / $104.68 / $172.48	Professional	26	$78.12	$104.68	$172.48