Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.14 / $33.03 / $38.85	Facility	26	$29.14	$33.03	$38.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.02 / $192.57 / $371.60	Professional		$155.02	$192.57	$371.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $29.74 / $44.45	Professional	26	$20.74	$29.74	$44.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $134.11 / $299.48	Professional		$134.11	$134.11	$299.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.74 / $34.74 / $42.26	Professional	26	$34.74	$34.74	$42.26
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $198.83 / $322.08	Professional		$37.33	$198.83	$322.08
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $38.64 / $40.46 / $41.48	Professional	26	$38.64	$40.46	$41.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $266.20 / $277.30	Professional		$244.02	$266.20	$277.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $31.66 / $34.54 / $35.97	Professional	26	$31.66	$34.54	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $205.94 / $299.48 / $400.01	Professional		$205.94	$299.48	$400.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.85 / $38.92 / $49.05	Professional	26	$38.85	$38.92	$49.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $307.13 / $549.82	Professional		$189.41	$307.13	$549.82
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $32.86 / $44.09 / $75.23	Professional	26	$32.86	$44.09	$75.23