Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.44 / $26.30 / $32.36	Facility	26	$23.44	$26.30	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $204.17	Professional		$102.33	$147.91	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $229.09	Professional		$83.18	$162.18	$229.09
HMSA Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $218.78	Professional		$138.04	$199.53	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $229.09	Professional		$165.96	$181.97	$229.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $32.36 / $39.81	Professional	26	$29.51	$32.36	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $204.17	Professional		$128.82	$165.96	$204.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $208.93	Professional		$72.44	$158.49	$208.93