Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.31 / $40.74 / $47.86	Facility	26	$36.31	$40.74	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $109.65	Professional		$48.98	$77.62	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $40.74 / $186.21	Professional	26	$30.20	$40.74	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $117.49 / $229.09	Professional		$42.66	$117.49	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $54.95 / $117.49	Professional	26	$25.12	$54.95	$117.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $181.97	Professional		$75.86	$158.49	$181.97
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $64.57 / $66.07	Professional	26	$61.66	$64.57	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $87.10	Professional		$67.61	$74.13	$87.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $44.67 / $51.29	Professional	26	$40.74	$44.67	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $151.36	Professional		$60.26	$79.43	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $47.86 / $79.43	Professional	26	$36.31	$47.86	$79.43
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $218.78	Professional		$74.13	$104.71	$218.78
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $57.54 / $97.72	Professional	26	$44.67	$57.54	$97.72