Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.21 / $34.24 / $40.28	Facility	26	$30.21	$34.24	$40.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $143.82 / $191.97	Professional		$119.53	$143.82	$191.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $27.89 / $46.15	Professional	26	$25.03	$27.89	$46.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.86 / $34.86 / $34.86	Facility	26	$34.86	$34.86	$34.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.10 / $134.63 / $173.81	Professional		$131.10	$134.63	$173.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.87 / $32.78 / $40.78	Professional	26	$29.87	$32.78	$40.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $174.97 / $222.18	Professional		$33.97	$174.97	$222.18
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $38.97 / $39.96	Professional	26	$37.22	$38.97	$39.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.46 / $139.04 / $162.22	Professional		$127.46	$139.04	$162.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $35.81 / $41.78	Professional	26	$32.82	$35.81	$41.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $156.41 / $232.16	Professional		$74.29	$156.41	$232.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.72 / $40.28 / $45.39	Professional	26	$16.72	$40.28	$45.39
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $201.20 / $304.95	Professional		$147.08	$201.20	$304.95
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $28.07 / $43.53 / $69.12	Professional	26	$28.07	$43.53	$69.12