Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.91 / $26.30 / $30.90	Facility	26	$22.91	$26.30	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $162.18	Professional		$38.90	$58.88	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.12 / $100.00	Professional	26	$19.05	$25.12	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $81.28 / $186.21	Professional		$33.11	$81.28	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $32.36 / $69.18	Professional	26	$16.22	$32.36	$69.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $138.04	Professional		$85.11	$131.83	$138.04
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $38.02 / $38.90	Professional	26	$36.31	$38.02	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $72.44	Professional		$57.54	$63.10	$72.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $28.18 / $33.11	Professional	26	$25.70	$28.18	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $117.49	Professional		$48.98	$67.61	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $46.77	Professional	26	$22.91	$30.90	$46.77
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $151.36	Professional		$56.23	$75.86	$151.36
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $34.67 / $58.88	Professional	26	$28.18	$34.67	$58.88