Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $42.66 / $50.12	Facility	26	$37.15	$42.66	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $416.87	Professional		$199.53	$251.19	$416.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $32.36 / $51.29	Professional	26	$23.99	$32.36	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $660.69	Professional		$213.80	$389.05	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $50.12 / $81.28	Professional	26	$45.71	$50.12	$81.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $478.63	Professional		$398.11	$467.74	$478.63
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $52.48 / $53.70	Professional	26	$51.29	$52.48	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $407.38	Professional		$323.59	$346.74	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $44.67 / $52.48	Professional	26	$40.74	$44.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $512.86	Professional		$120.23	$239.88	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $51.29 / $61.66	Professional	26	$28.84	$51.29	$61.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $398.11 / $707.95	Professional		$162.18	$398.11	$707.95
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $56.23 / $93.33	Professional	26	$42.66	$56.23	$93.33