Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.73 / $80.18 / $94.32	Facility	26	$70.73	$80.18	$94.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $475.00 / $760.60	Professional		$475.00	$475.00	$760.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.77 / $140.00 / $145.65	Professional	26	$99.77	$140.00	$145.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.95 / $613.86 / $613.86	Professional		$377.95	$613.86	$613.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.86 / $94.32 / $103.69	Professional	26	$65.86	$94.32	$103.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $664.51 / $813.80	Professional		$87.76	$664.51	$813.80
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $93.98 / $98.41 / $100.87	Professional	26	$93.98	$98.41	$100.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $500.18 / $545.65 / $636.59	Professional		$500.18	$545.65	$636.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $76.86 / $83.84 / $97.82	Professional	26	$76.86	$83.84	$97.82
United Facility/Professional Professional Modifier Low / Median / High Price $521.78 / $613.86 / $797.92	Professional		$521.78	$613.86	$797.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.18 / $94.32 / $115.37	Professional	26	$80.18	$94.32	$115.37
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $502.17 / $724.20 / $1,027.48	Professional		$502.17	$724.20	$1,027.48
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $80.88 / $104.68 / $176.78	Professional	26	$80.88	$104.68	$176.78