Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.60 / $127.61 / $150.13	Facility	26	$112.60	$127.61	$150.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $158.62 / $329.16	Professional	26	$93.63	$158.62	$329.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $137.04 / $137.04 / $166.64	Professional	26	$137.04	$137.04	$166.64
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $157.06 / $164.46 / $168.58	Professional	26	$157.06	$164.46	$168.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $122.33 / $133.44 / $155.69	Professional	26	$122.33	$133.44	$155.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $150.13 / $153.97 / $188.04	Professional	26	$150.13	$153.97	$188.04
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $130.49 / $169.20 / $286.14	Professional	26	$130.49	$169.20	$286.14