Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $206.04 / $233.52 / $274.73	Facility	26	$206.04	$233.52	$274.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.33 / $638.84 / $1,090.26	Professional		$405.33	$638.84	$1,090.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $133.41 / $194.67 / $318.74	Professional	26	$133.41	$194.67	$318.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.82 / $659.28 / $889.79	Professional		$480.82	$659.28	$889.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $154.65 / $223.99 / $274.73	Professional	26	$154.65	$223.99	$274.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $774.79 / $852.89	Professional		$248.63	$774.79	$852.89
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $256.18 / $268.25 / $285.77	Professional	26	$256.18	$268.25	$285.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.87 / $790.92 / $922.74	Professional		$678.87	$790.92	$922.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $209.61 / $244.20 / $284.89	Professional	26	$209.61	$244.20	$284.89
United Facility/Professional Professional Modifier Low / Median / High Price $830.70 / $889.79 / $1,016.61	Professional		$830.70	$889.79	$1,016.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $273.45 / $274.73 / $321.08	Professional	26	$273.45	$274.73	$321.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $816.12 / $969.29 / $1,654.58	Professional		$816.12	$969.29	$1,654.58
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $251.73 / $300.62 / $505.09	Professional	26	$251.73	$300.62	$505.09