Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.70 / $77.87 / $91.61	Facility	26	$68.70	$77.87	$91.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $114.67 / $121.88	Professional		$68.22	$114.67	$121.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $65.56 / $245.97	Professional	26	$58.95	$65.56	$245.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $133.50 / $138.04	Professional		$79.55	$133.50	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.70 / $91.61 / $93.17	Professional	26	$57.70	$91.61	$93.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $365.76 / $404.60	Professional		$78.08	$365.76	$404.60
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $83.62 / $87.56 / $89.75	Professional	26	$83.62	$87.56	$89.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $118.67 / $138.44	Professional		$108.78	$118.67	$138.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.65 / $81.43 / $95.00	Professional	26	$74.65	$81.43	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $133.50 / $151.87	Professional		$113.48	$133.50	$151.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.87 / $91.61 / $108.17	Professional	26	$77.87	$91.61	$108.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $163.16 / $438.96	Professional		$104.59	$163.16	$438.96
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $64.39 / $99.93 / $163.90	Professional	26	$64.39	$99.93	$163.90