Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.36 / $48.01 / $56.48	Facility	26	$42.36	$48.01	$56.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $99.82 / $197.12	Professional		$74.03	$99.82	$197.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $39.69 / $65.17	Professional	26	$28.20	$39.69	$65.17
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.27 / $47.27 / $47.27	Facility	26	$47.27	$47.27	$47.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $131.06 / $161.60	Professional		$101.24	$131.06	$161.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.12 / $48.01 / $58.64	Professional	26	$46.12	$48.01	$58.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $153.11 / $168.46	Professional		$48.04	$153.11	$168.46
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $55.14 / $56.52	Professional	26	$52.66	$55.14	$56.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $143.63 / $167.58	Professional		$131.66	$143.63	$167.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $46.02 / $50.21 / $58.58	Professional	26	$46.02	$50.21	$58.58
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $161.60 / $179.48	Professional		$59.41	$161.60	$179.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.71 / $56.48 / $67.04	Professional	26	$24.71	$56.48	$67.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $175.12 / $247.38	Professional		$101.26	$175.12	$247.38
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $39.83 / $61.08 / $100.63	Professional	26	$39.83	$61.08	$100.63