Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $474.78 / $538.09 / $633.04	Facility	26	$474.78	$538.09	$633.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.51 / $804.12 / $1,616.86	Professional		$594.51	$804.12	$1,616.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.52 / $546.23 / $734.20	Professional	26	$307.52	$546.23	$734.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.02 / $823.54 / $1,336.89	Professional		$690.02	$823.54	$1,336.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $456.57 / $618.52 / $633.04	Professional	26	$456.57	$618.52	$633.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $632.95 / $1,384.85	Professional		$352.71	$632.95	$1,384.85
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $693.79 / $726.48 / $744.65	Professional	26	$693.79	$726.48	$744.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,188.34 / $1,386.41	Professional		$1,020.00	$1,188.34	$1,386.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $482.99 / $562.70 / $656.49	Professional	26	$482.99	$562.70	$656.49
United Facility/Professional Professional Modifier Low / Median / High Price $1,021.85 / $1,336.89 / $1,443.23	Professional		$1,021.85	$1,336.89	$1,443.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $633.04 / $694.22 / $740.13	Professional	26	$633.04	$694.22	$740.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $847.80 / $1,443.07 / $2,113.03	Professional		$847.80	$1,443.07	$2,113.03
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $580.05 / $713.05 / $1,106.14	Professional	26	$580.05	$713.05	$1,106.14