Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.23 / $95.46 / $112.31	Facility	26	$84.23	$95.46	$112.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $475.00 / $494.18	Professional		$250.00	$475.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.50 / $140.00 / $145.65	Professional	26	$62.50	$140.00	$145.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $550.46 / $688.10	Professional		$365.77	$550.46	$688.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.46 / $106.73 / $124.79	Professional	26	$95.46	$106.73	$124.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $802.32 / $977.21	Professional		$109.52	$802.32	$977.21
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $120.05 / $125.71 / $128.85	Professional	26	$120.05	$125.71	$128.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.18 / $356.93 / $416.42	Professional		$327.18	$356.93	$416.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.51 / $99.83 / $116.47	Professional	26	$91.51	$99.83	$116.47
United Facility/Professional Professional Modifier Low / Median / High Price $171.51 / $473.06 / $529.96	Professional		$171.51	$473.06	$529.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.61 / $112.31 / $140.96	Professional	26	$51.61	$112.31	$140.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $723.86 / $996.11	Professional		$368.54	$723.86	$996.11
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $91.07 / $132.02 / $215.23	Professional	26	$91.07	$132.02	$215.23