Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.47 / $94.60 / $111.29	Facility	26	$83.47	$94.60	$111.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.70 / $476.70 / $796.99	Professional		$476.70	$476.70	$796.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.38 / $788.38 / $1,092.11	Professional		$788.38	$788.38	$1,092.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $135.13 / $1,015.52	Professional		$103.84	$135.13	$1,015.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.94 / $831.20 / $865.84	Professional		$761.94	$831.20	$865.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $90.68 / $98.93 / $103.05	Professional	26	$90.68	$98.93	$103.05
United Facility/Professional Professional Modifier Low / Median / High Price $935.10 / $1,002.64 / $1,242.08	Professional		$935.10	$1,002.64	$1,242.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $858.63 / $1,130.38 / $1,573.18	Professional		$858.63	$1,130.38	$1,573.18