Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.17 / $43.26 / $50.90	Facility	26	$38.17	$43.26	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $116.15 / $212.90	Professional		$96.60	$116.15	$212.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $23.56 / $58.26	Professional	26	$20.17	$23.56	$58.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.62 / $43.62 / $43.62	Facility	26	$43.62	$43.62	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $118.94 / $174.47	Professional		$78.29	$118.94	$174.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.91 / $28.40 / $50.90	Professional	26	$25.91	$28.40	$50.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $110.41 / $205.33	Professional		$45.32	$110.41	$205.33
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $49.68 / $52.02 / $53.32	Professional	26	$49.68	$52.02	$53.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $154.72 / $180.52	Professional		$141.83	$154.72	$180.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.47 / $45.24 / $52.78	Professional	26	$41.47	$45.24	$52.78
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $174.07 / $203.51	Professional		$66.56	$174.07	$203.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.67 / $50.23 / $64.44	Professional	26	$23.67	$50.23	$64.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $176.37 / $269.68	Professional		$108.61	$176.37	$269.68
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $25.86 / $43.91 / $60.32	Professional	26	$25.86	$43.91	$60.32