Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.63 / $67.58 / $79.50	Facility	26	$59.63	$67.58	$79.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $354.90 / $413.85	Professional		$171.00	$354.90	$413.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $60.57 / $90.99	Professional	26	$51.30	$60.57	$90.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $68.70 / $68.70	Facility	26	$68.70	$68.70	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.70 / $381.68 / $499.14	Professional		$286.70	$381.68	$499.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.87 / $70.73 / $87.36	Professional	26	$64.87	$70.73	$87.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $528.20 / $643.29	Professional		$72.13	$528.20	$643.29
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $79.06 / $82.79 / $84.86	Professional	26	$79.06	$82.79	$84.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.07 / $257.52 / $300.45	Professional		$236.07	$257.52	$300.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.78 / $70.67 / $82.45	Professional	26	$64.78	$70.67	$82.45
United Facility/Professional Professional Modifier Low / Median / High Price $233.38 / $389.93 / $398.72	Professional		$233.38	$389.93	$398.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $79.50 / $100.37	Professional	26	$38.31	$79.50	$100.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $476.13 / $789.62	Professional		$265.92	$476.13	$789.62
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $59.70 / $91.43 / $152.47	Professional	26	$59.70	$91.43	$152.47