Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.41 / $72.98 / $85.87	Facility	26	$64.41	$72.98	$85.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $331.86 / $601.61	Professional		$247.34	$331.86	$601.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $59.90 / $98.19	Professional	26	$44.53	$59.90	$98.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $257.01 / $593.60	Professional		$257.01	$257.01	$593.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.50 / $78.50 / $93.97	Professional	26	$78.50	$78.50	$93.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $391.60 / $522.33	Professional		$85.19	$391.60	$522.33
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $88.18 / $92.34 / $94.65	Professional	26	$88.18	$92.34	$94.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.80 / $432.88 / $450.91	Professional		$396.80	$432.88	$450.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.97 / $76.33 / $79.51	Professional	26	$69.97	$76.33	$79.51
United Facility/Professional Professional Modifier Low / Median / High Price $415.83 / $486.99 / $637.02	Professional		$415.83	$486.99	$637.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.87 / $87.69 / $107.64	Professional	26	$85.87	$87.69	$107.64
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.30 / $546.47 / $997.33	Professional		$353.30	$546.47	$997.33
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $73.84 / $97.39 / $164.08	Professional	26	$73.84	$97.39	$164.08