Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.05 / $64.66 / $76.06	Facility	26	$57.05	$64.66	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $349.00 / $349.00	Professional		$171.00	$349.00	$349.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $52.46 / $52.46	Professional	26	$51.30	$52.46	$52.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.58 / $364.41 / $469.49	Professional		$307.58	$364.41	$469.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.47 / $67.88 / $83.91	Professional	26	$62.47	$67.88	$83.91
HMSA Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $453.27 / $539.76	Professional		$69.72	$453.27	$539.76
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $76.42 / $80.02 / $82.02	Professional	26	$76.42	$80.02	$82.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.63 / $312.68 / $364.80	Professional		$286.63	$312.68	$364.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.99 / $67.62 / $78.89	Professional	26	$61.99	$67.62	$78.89
United Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $351.77 / $473.02	Professional		$157.94	$351.77	$473.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.82 / $76.06 / $96.41	Professional	26	$36.82	$76.06	$96.41
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $449.94 / $775.25	Professional		$322.91	$449.94	$775.25
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $57.72 / $87.23 / $147.38	Professional	26	$57.72	$87.23	$147.38