Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $204.17	Professional		$100.00	$107.15	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $33.11 / $40.74	Professional	26	$20.89	$33.11	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $46.77 / $186.21	Professional		$45.71	$46.77	$186.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $33.11	Professional	26	$13.49	$14.13	$33.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $181.97 / $309.03	Professional		$33.88	$181.97	$309.03
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $39.81 / $56.23	Professional	26	$38.02	$39.81	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $204.17	Professional		$162.18	$177.83	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $31.62 / $37.15	Professional	26	$28.84	$31.62	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.98 / $43.65	Professional	26	$16.22	$16.98	$43.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $281.84	Professional		$104.71	$204.17	$281.84
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $38.90 / $50.12	Professional	26	$29.51	$38.90	$50.12