Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.88 / $122.27 / $143.84	Facility	26	$107.88	$122.27	$143.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.58 / $113.72 / $163.46	Professional	26	$75.58	$113.72	$163.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.69 / $134.87 / $143.84	Professional	26	$95.69	$134.87	$143.84
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $154.61 / $161.90 / $165.95	Professional	26	$154.61	$161.90	$165.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.75 / $127.86 / $149.16	Professional	26	$109.75	$127.86	$149.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $143.84 / $150.28 / $179.75	Professional	26	$143.84	$150.28	$179.75
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $126.43 / $173.75 / $275.24	Professional	26	$126.43	$173.75	$275.24