Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $27.82 / $32.72	Facility	26	$24.54	$27.82	$32.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $166.25 / $207.10	Professional		$51.43	$166.25	$207.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.71 / $32.72 / $90.91	Professional	26	$16.71	$32.72	$90.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.80 / $27.80 / $27.80	Facility	26	$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $124.93 / $155.80	Professional		$96.26	$124.93	$155.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.52 / $22.18 / $33.95	Professional	26	$19.52	$22.18	$33.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $164.77 / $190.99	Professional		$28.67	$164.77	$190.99
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $31.43 / $32.90 / $33.72	Professional	26	$31.43	$32.90	$33.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $100.67 / $117.45	Professional		$92.28	$100.67	$117.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $26.66 / $29.09 / $33.94	Professional	26	$26.66	$29.09	$33.94
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $113.25 / $159.13	Professional		$40.64	$113.25	$159.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.70 / $32.72 / $40.17	Professional	26	$14.70	$32.72	$40.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $124.27 / $186.63	Professional		$24.92	$124.27	$186.63
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $19.68 / $32.17 / $42.69	Professional	26	$19.68	$32.17	$42.69