Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.75 / $85.85 / $105.21	Facility	26	$75.75	$85.85	$105.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $140.84 / $248.33	Professional		$124.62	$140.84	$248.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $192.35 / $201.15	Professional		$156.72	$192.35	$201.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $102.33 / $203.17	Professional		$74.84	$102.33	$203.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $184.39 / $215.12	Professional		$169.03	$184.39	$215.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $92.59 / $101.00 / $117.84	Professional	26	$92.59	$101.00	$117.84
United Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $192.08 / $247.93	Professional		$152.57	$192.08	$247.93
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $190.00 / $206.67	Professional		$116.67	$190.00	$206.67