Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.15 / $61.37 / $75.20	Facility	26	$54.15	$61.37	$75.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $90.26 / $90.26	Professional		$90.26	$90.26	$90.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $364.86 / $364.86	Professional		$78.66	$364.86	$364.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $169.89 / $361.41	Professional		$76.76	$169.89	$361.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $350.27 / $408.65	Professional		$321.08	$350.27	$408.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.19 / $72.20 / $84.24	Professional	26	$66.19	$72.20	$84.24
United Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $364.86 / $472.71	Professional		$205.94	$364.86	$472.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $276.01 / $416.19 / $693.65	Professional		$276.01	$416.19	$693.65