Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.72 / $54.08 / $63.63	Facility	26	$47.72	$54.08	$63.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $131.94 / $181.63	Professional		$113.48	$131.94	$181.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.51 / $33.90 / $72.37	Professional	26	$30.51	$33.90	$72.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.06 / $56.06 / $56.06	Facility	26	$56.06	$56.06	$56.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $109.07 / $167.42	Professional		$77.34	$109.07	$167.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $42.63 / $63.63	Professional	26	$38.02	$42.63	$63.63
HMSA Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $100.56 / $166.19	Professional		$57.73	$100.56	$166.19
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $63.27 / $66.25 / $67.92	Professional	26	$63.27	$66.25	$67.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $133.93 / $156.25	Professional		$122.77	$133.93	$156.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.84 / $56.56 / $65.98	Professional	26	$51.84	$56.56	$65.98
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $150.66 / $181.15	Professional		$59.36	$150.66	$181.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.07 / $53.84 / $63.63	Professional	26	$20.07	$53.84	$63.63
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $156.99 / $298.79	Professional		$104.68	$156.99	$298.79
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $37.71 / $60.71 / $83.49	Professional	26	$37.71	$60.71	$83.49