Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.90 / $87.15 / $102.53	Facility	26	$76.90	$87.15	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $183.11 / $304.55	Professional		$148.34	$183.11	$304.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.75 / $78.95 / $329.73	Professional	26	$62.75	$78.95	$329.73
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $86.87 / $86.87 / $86.87	Facility	26	$86.87	$86.87	$86.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $218.19 / $400.67	Professional		$137.37	$218.19	$400.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.26 / $95.33 / $167.76	Professional	26	$61.26	$95.33	$167.76
HMSA Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $154.69 / $250.33	Professional		$90.13	$154.69	$250.33
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $96.53 / $101.08 / $103.60	Professional	26	$96.53	$101.08	$103.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.55 / $223.14 / $260.33	Professional		$204.55	$223.14	$260.33
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.55 / $91.14 / $106.33	Professional	26	$83.55	$91.14	$106.33
United Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $251.03 / $293.98	Professional		$179.00	$251.03	$293.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.90 / $102.53 / $124.55	Professional	26	$76.90	$102.53	$124.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $278.45 / $446.11	Professional		$183.23	$278.45	$446.11
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $83.78 / $114.09 / $189.41	Professional	26	$83.78	$114.09	$189.41