Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $128.82 / $151.36	Facility	26	$112.20	$128.82	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $151.36 / $371.54	Professional	26	$100.00	$151.36	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $151.36 / $251.19	Professional	26	$141.25	$151.36	$251.19
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $162.18 / $169.82 / $169.82	Professional	26	$162.18	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $134.90 / $158.49	Professional	26	$123.03	$134.90	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $190.55	Professional	26	$97.72	$158.49	$190.55
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $169.82 / $288.40	Professional	26	$131.83	$169.82	$288.40