Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.30 / $102.35 / $120.41	Facility	26	$90.30	$102.35	$120.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $118.75 / $137.41	Professional	26	$93.63	$118.75	$137.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.92 / $112.92 / $136.37	Professional	26	$112.92	$112.92	$136.37
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $129.55 / $135.65 / $139.05	Professional	26	$129.55	$135.65	$139.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.11 / $107.03 / $124.87	Professional	26	$98.11	$107.03	$124.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $120.41 / $127.28 / $146.93	Professional	26	$120.41	$127.28	$146.93
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $107.65 / $137.00 / $232.02	Professional	26	$107.65	$137.00	$232.02