Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.58 / $44.86 / $52.77	Facility	26	$39.58	$44.86	$52.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $139.77 / $194.96	Professional		$75.84	$139.77	$194.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.20 / $40.65 / $60.49	Professional	26	$28.20	$40.65	$60.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.12 / $45.12 / $45.12	Facility	26	$45.12	$45.12	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $190.43 / $450.68	Professional		$110.32	$190.43	$450.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.86 / $47.45 / $58.64	Professional	26	$44.86	$47.45	$58.64
HMSA Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $450.05 / $570.63	Professional		$47.13	$450.05	$570.63
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $51.65 / $54.08 / $55.45	Professional	26	$51.65	$54.08	$55.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $142.13 / $165.82	Professional		$130.28	$142.13	$165.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $46.91 / $54.73	Professional	26	$43.00	$46.91	$54.73
United Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $159.88 / $179.21	Professional		$59.18	$159.88	$179.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.66 / $52.77 / $67.38	Professional	26	$24.66	$52.77	$67.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $206.26 / $513.66	Professional		$125.09	$206.26	$513.66
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $41.59 / $60.62 / $104.10	Professional	26	$41.59	$60.62	$104.10