Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $146.22 / $146.22	Professional		$146.22	$146.22	$146.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.38 / $52.38 / $52.38	Facility	26	$52.38	$52.38	$52.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.92 / $290.33 / $386.64	Professional		$262.92	$290.33	$386.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $284.52 / $328.06	Professional		$67.88	$284.52	$328.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.54 / $309.31 / $360.86	Professional		$283.54	$309.31	$360.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.12 / $55.76 / $65.06	Professional	26	$51.12	$55.76	$65.06
United Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $322.20 / $344.78	Professional		$158.80	$322.20	$344.78
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $251.88 / $348.70	Professional		$154.66	$251.88	$348.70