Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.81 / $25.85 / $30.42	Facility	26	$22.81	$25.85	$30.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $101.56 / $101.56	Professional		$90.93	$101.56	$101.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $32.04 / $32.04	Professional	26	$21.07	$32.04	$32.04
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.63 / $26.63 / $26.63	Facility	26	$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $124.76 / $194.98	Professional		$94.85	$124.76	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.85 / $27.60 / $33.79	Professional	26	$25.85	$27.60	$33.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $126.23 / $4,347.00	Professional		$27.94	$126.23	$4,347.00
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $30.62 / $32.06 / $32.86	Professional	26	$30.62	$32.06	$32.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $173.32 / $202.20	Professional		$158.87	$173.32	$202.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $27.04 / $31.54	Professional	26	$24.78	$27.04	$31.54
United Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $194.98 / $218.48	Professional		$69.55	$194.98	$218.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $30.42 / $38.54	Professional	26	$14.08	$30.42	$38.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.73 / $191.06 / $286.51	Professional		$121.73	$191.06	$286.51
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $35.26 / $59.23	Professional	26	$23.05	$35.26	$59.23