Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.83 / $53.07 / $65.04	Facility	26	$46.83	$53.07	$65.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $107.75 / $150.22	Professional		$79.76	$107.75	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $119.15 / $129.41	Professional		$94.57	$119.15	$129.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $71.55 / $131.07	Professional		$52.33	$71.55	$131.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $111.26 / $129.81	Professional		$101.99	$111.26	$129.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.23 / $62.44 / $72.84	Professional	26	$57.23	$62.44	$72.84
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $115.90 / $158.72	Professional		$94.57	$115.90	$158.72
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $116.49 / $126.70	Professional		$71.53	$116.49	$126.70