Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.30 / $67.20 / $79.06	Facility	26	$59.30	$67.20	$79.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $206.84 / $384.67	Professional		$172.58	$206.84	$384.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $47.32 / $90.51	Professional	26	$42.60	$47.32	$90.51
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.29 / $68.29 / $68.29	Facility	26	$68.29	$68.29	$68.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $242.32 / $348.20	Professional		$144.13	$242.32	$348.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.37 / $59.95 / $83.78	Professional	26	$54.37	$59.95	$83.78
HMSA Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $208.59 / $375.75	Professional		$72.31	$208.59	$375.75
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $77.43 / $81.08 / $83.11	Professional	26	$77.43	$81.08	$83.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.34 / $278.56 / $324.98	Professional		$255.34	$278.56	$324.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.43 / $70.28 / $82.00	Professional	26	$64.43	$70.28	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.32 / $313.38 / $375.14	Professional		$121.32	$313.38	$375.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $79.06 / $99.20	Professional	26	$36.31	$79.06	$99.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $325.12 / $556.26	Professional		$198.76	$325.12	$556.26
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $85.00 / $119.26	Professional	26	$52.66	$85.00	$119.26