Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.67 / $87.67 / $473.21	Professional		$87.67	$87.67	$473.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.95 / $45.15 / $228.12	Professional	26	$40.95	$45.15	$228.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $111.76 / $111.76	Professional		$86.99	$111.76	$111.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $53.46 / $81.84	Professional	26	$45.60	$53.46	$81.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $96.38 / $140.47	Professional		$67.26	$96.38	$140.47
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $68.68 / $73.83 / $77.31	Professional	26	$68.68	$73.83	$77.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $107.29 / $125.17	Professional		$98.35	$107.29	$125.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.05 / $51.32 / $59.88	Professional	26	$47.05	$51.32	$59.88
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $111.76 / $130.49	Professional		$91.20	$111.76	$130.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.63 / $53.46 / $70.06	Professional	26	$43.63	$53.46	$70.06
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $100.96 / $113.79	Professional		$14.22	$100.96	$113.79
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.35 / $52.25 / $81.79	Professional	26	$7.35	$52.25	$81.79