Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.84 / $49.69 / $58.46	Facility	26	$43.84	$49.69	$58.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $215.12 / $215.12	Professional		$155.91	$215.12	$215.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.93 / $231.93 / $371.36	Professional		$231.93	$231.93	$371.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $320.19 / $329.15	Professional		$72.98	$320.19	$329.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.66 / $276.72 / $288.25	Professional		$253.66	$276.72	$288.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.63 / $51.96 / $54.13	Professional	26	$47.63	$51.96	$54.13
United Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $311.31 / $402.58	Professional		$179.20	$311.31	$402.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $258.56 / $348.89 / $631.14	Professional		$258.56	$348.89	$631.14