Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.16 / $34.18 / $40.22	Facility	26	$30.16	$34.18	$40.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $172.69 / $208.64	Professional		$169.28	$172.69	$208.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $172.97 / $336.72	Professional		$172.97	$172.97	$336.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $252.80 / $359.88	Professional		$40.01	$252.80	$359.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.36 / $299.30 / $311.77	Professional		$274.36	$299.30	$311.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.77 / $35.75 / $37.24	Professional	26	$32.77	$35.75	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $236.01 / $336.72 / $451.34	Professional		$236.01	$336.72	$451.34
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $352.52 / $524.22	Professional		$232.47	$352.52	$524.22