Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.60 / $114.02 / $134.13	Facility	26	$100.60	$114.02	$134.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $118.75 / $291.50	Professional	26	$90.00	$118.75	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.95 / $123.95 / $150.83	Professional	26	$123.95	$123.95	$150.83
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $142.13 / $148.83 / $152.54	Professional	26	$142.13	$148.83	$152.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.30 / $119.23 / $139.10	Professional	26	$109.30	$119.23	$139.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $134.13 / $139.16 / $167.54	Professional	26	$134.13	$139.16	$167.54
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $117.92 / $153.27 / $258.14	Professional	26	$117.92	$153.27	$258.14