Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.72 / $41.62 / $48.96	Facility	26	$36.72	$41.62	$48.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.64 / $296.87 / $366.78	Professional		$210.64	$296.87	$366.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $269.35 / $525.22	Professional		$269.35	$269.35	$525.22
HMSA Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $409.75 / $444.41	Professional		$52.25	$409.75	$444.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.36 / $361.49 / $376.55	Professional		$331.36	$361.49	$376.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.90 / $43.52 / $45.34	Professional	26	$39.90	$43.52	$45.34
United Facility/Professional Professional Modifier Low / Median / High Price $398.10 / $406.67 / $544.89	Professional		$398.10	$406.67	$544.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.97 / $472.24 / $869.86	Professional		$355.97	$472.24	$869.86