Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $50.12 / $58.88	Facility	26	$43.65	$50.12	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $323.59	Professional		$154.88	$190.55	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $512.86	Professional		$234.42	$309.03	$512.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $338.84	Professional		$281.84	$338.84	$338.84
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 $48.98 / $52.48 / $61.66	Professional	26	$48.98	$52.48	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $398.11	Professional		$177.83	$309.03	$398.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $549.54	Professional		$257.04	$346.74	$549.54