Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $193.46 / $690.00	Professional		$140.99	$193.46	$690.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.51 / $40.51 / $40.51	Facility	26	$40.51	$40.51	$40.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $199.24 / $386.71	Professional		$121.14	$199.24	$386.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $280.13 / $341.55	Professional		$54.78	$280.13	$341.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.80 / $197.23 / $230.10	Professional		$180.80	$197.23	$230.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.13 / $41.59 / $48.52	Professional	26	$38.13	$41.59	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $205.45 / $272.97	Professional		$147.91	$205.45	$272.97
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $127.32 / $185.31 / $366.88	Professional		$127.32	$185.31	$366.88