Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.57 / $94.71 / $111.43	Facility	26	$83.57	$94.71	$111.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $146.09 / $224.39	Professional		$91.88	$146.09	$224.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $188.68 / $205.07	Professional		$113.64	$188.68	$205.07
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $197.18 / $264.42	Professional		$108.24	$197.18	$264.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $167.71 / $195.66	Professional		$143.94	$167.71	$195.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.02 / $99.05 / $115.56	Professional	26	$85.02	$99.05	$115.56
United Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $214.33 / $226.61	Professional		$188.68	$214.33	$226.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $218.03 / $366.64	Professional		$157.29	$218.03	$366.64