Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.28 / $104.58 / $123.04	Facility	26	$92.28	$104.58	$123.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.93 / $209.52 / $285.00	Professional		$120.93	$209.52	$285.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $54.71 / $139.60	Professional	26	$49.34	$54.71	$139.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $335.80 / $710.14	Professional		$174.65	$335.80	$710.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.19 / $69.25 / $123.04	Professional	26	$61.19	$69.25	$123.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $762.96 / $6,352.00	Professional		$108.41	$762.96	$6,352.00
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $118.83 / $124.43 / $127.54	Professional	26	$118.83	$124.43	$127.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $212.39 / $247.79	Professional		$194.69	$212.39	$247.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $100.25 / $109.37 / $127.60	Professional	26	$100.25	$109.37	$127.60
United Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $221.35 / $303.20	Professional		$103.07	$221.35	$303.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.93 / $123.04 / $153.60	Professional	26	$56.93	$123.04	$153.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $325.43 / $808.88	Professional		$218.83	$325.43	$808.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $62.19 / $107.16 / $150.53	Professional	26	$62.19	$107.16	$150.53