Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $217.64 / $217.64	Professional		$217.64	$217.64	$217.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.23 / $46.23 / $46.23	Professional	26	$46.23	$46.23	$46.23
HMSA Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $179.61 / $214.54	Professional		$49.17	$179.61	$214.54
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $55.25 / $57.85 / $82.49	Professional	26	$55.25	$57.85	$82.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $208.93 / $243.75	Professional		$191.52	$208.93	$243.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.68 / $44.38 / $51.77	Professional	26	$40.68	$44.38	$51.77
United Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $217.64 / $234.08	Professional		$217.64	$217.64	$234.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.23 / $46.23 / $63.35	Professional	26	$46.23	$46.23	$63.35
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $188.17 / $269.72	Professional		$106.35	$188.17	$269.72
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $54.35 / $73.89	Professional	26	$34.17	$54.35	$73.89