Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.44 / $128.57 / $151.25	Facility	26	$113.44	$128.57	$151.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $172.70 / $344.81	Professional	26	$90.00	$172.70	$344.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.32 / $140.32 / $167.84	Professional	26	$140.32	$140.32	$167.84
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $160.80 / $168.38 / $172.59	Professional	26	$160.80	$168.38	$172.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $123.24 / $134.44 / $156.86	Professional	26	$123.24	$134.44	$156.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $151.25 / $157.44 / $189.45	Professional	26	$151.25	$157.44	$189.45
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $131.40 / $173.59 / $289.23	Professional	26	$131.40	$173.59	$289.23