Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $95.50 / $112.20	Facility	26	$83.18	$95.50	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,000.00	Professional		$478.63	$602.56	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,513.56	Professional		$794.33	$933.25	$1,513.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,230.27	Professional		$977.24	$1,148.15	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $977.24	Professional		$758.58	$831.76	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $97.72 / $114.82	Professional	26	$91.20	$97.72	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,230.27	Professional		$512.86	$1,000.00	$1,230.27
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,621.81	Professional		$851.14	$1,071.52	$1,621.81