Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.24 / $27.47 / $33.65	Facility	26	$24.24	$27.47	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $167.24 / $279.49	Professional		$104.63	$167.24	$279.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $170.56 / $216.46	Professional		$82.23	$170.56	$216.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $181.53 / $244.13	Professional		$33.52	$181.53	$244.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $200.66 / $234.11	Professional		$183.94	$200.66	$234.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.62 / $32.32 / $37.70	Professional	26	$29.62	$32.32	$37.70
United Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $209.03 / $239.24	Professional		$142.18	$209.03	$239.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $181.37 / $247.52	Professional		$72.56	$181.37	$247.52