Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.76 / $13.32 / $15.67	Facility	26	$11.76	$13.32	$15.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $475.00 / $494.18	Professional		$81.62	$475.00	$494.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $69.94 / $145.65	Professional	26	$17.96	$69.94	$145.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $87.56 / $100.21	Professional		$56.40	$87.56	$100.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.76 / $14.16 / $17.04	Professional	26	$12.76	$14.16	$17.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $122.40 / $153.53	Professional		$13.89	$122.40	$153.53
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $15.22 / $15.94 / $16.34	Professional	26	$15.22	$15.94	$16.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $58.98 / $68.81	Professional		$54.07	$58.98	$68.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.77 / $13.93 / $16.25	Professional	26	$12.77	$13.93	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $66.34 / $89.52	Professional		$28.67	$66.34	$89.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $19.53 / $94.03	Professional	26	$11.30	$19.53	$94.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $86.54 / $186.31	Professional		$65.03	$86.54	$186.31
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.57 / $17.48 / $29.76	Professional	26	$11.57	$17.48	$29.76