Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.77 / $100.60 / $118.35	Facility	26	$88.77	$100.60	$118.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $118.75 / $135.28	Professional	26	$93.63	$118.75	$135.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.84 / $108.84 / $131.31	Professional	26	$108.84	$108.84	$131.31
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $124.85 / $130.72 / $134.00	Professional	26	$124.85	$130.72	$134.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $96.44 / $105.20 / $122.74	Professional	26	$96.44	$105.20	$122.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $118.35 / $120.90 / $146.30	Professional	26	$118.35	$120.90	$146.30
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $102.93 / $135.16 / $224.32	Professional	26	$102.93	$135.16	$224.32