Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.44 / $95.70 / $112.59	Facility	26	$84.44	$95.70	$112.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.51 / $467.19 / $476.89	Professional		$336.51	$467.19	$476.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $86.77 / $166.61	Professional	26	$78.03	$86.77	$166.61
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.97 / $96.97 / $96.97	Facility	26	$96.97	$96.97	$96.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.84 / $452.88 / $580.01	Professional		$341.84	$452.88	$580.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.40 / $100.34 / $123.54	Professional	26	$83.40	$100.34	$123.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $663.31 / $789.46	Professional		$102.30	$663.31	$789.46
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $112.13 / $117.41 / $120.35	Professional	26	$112.13	$117.41	$120.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.98 / $344.70 / $402.15	Professional		$315.98	$344.70	$402.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.74 / $100.08 / $116.76	Professional	26	$91.74	$100.08	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $387.79 / $555.47	Professional		$187.38	$387.79	$555.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.10 / $134.58 / $141.35	Professional	26	$54.10	$134.58	$141.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $498.51 / $872.88	Professional		$355.89	$498.51	$872.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $85.38 / $125.76 / $215.83	Professional	26	$85.38	$125.76	$215.83