Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.01 / $68.01 / $80.01	Facility	26	$60.01	$68.01	$80.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $51.30 / $51.30	Professional	26	$51.30	$51.30	$51.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.05 / $69.05 / $69.05	Facility	26	$69.05	$69.05	$69.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $380.65 / $501.86	Professional		$287.14	$380.65	$501.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.25 / $70.73 / $87.36	Professional	26	$65.25	$70.73	$87.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $530.17 / $643.29	Professional		$72.13	$530.17	$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 $238.93 / $260.64 / $304.08	Professional		$238.93	$260.64	$304.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.20 / $71.12 / $82.98	Professional	26	$65.20	$71.12	$82.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.57 / $293.23 / $401.34	Professional		$131.57	$293.23	$401.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.31 / $80.01 / $100.37	Professional	26	$38.31	$80.01	$100.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $476.13 / $789.62	Professional		$269.14	$476.13	$789.62
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $60.07 / $91.43 / $153.41	Professional	26	$60.07	$91.43	$153.41