Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $102.33 / $120.23	Facility	26	$91.20	$102.33	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $371.54	Professional	26	$100.00	$125.89	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $120.23 / $204.17	Professional	26	$112.20	$120.23	$204.17
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $134.90 / $134.90	Professional	26	$128.82	$134.90	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $107.15 / $125.89	Professional	26	$100.00	$107.15	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $147.91	Professional	26	$79.43	$125.89	$147.91
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $134.90 / $234.42	Professional	26	$107.15	$134.90	$234.42