Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $186.15 / $186.15 / $186.15	Professional	26	$186.15	$186.15	$186.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.53 / $673.53 / $673.53	Professional		$673.53	$673.53	$673.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $94.73 / $94.73	Professional	26	$94.73	$94.73	$94.73
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $535.73 / $852.62	Professional		$95.33	$535.73	$852.62
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $107.11 / $112.15 / $161.18	Professional	26	$107.11	$112.15	$161.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.70 / $646.58 / $754.35	Professional		$592.70	$646.58	$754.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.36 / $90.94 / $106.09	Professional	26	$83.36	$90.94	$106.09
United Facility/Professional Professional Modifier Low / Median / High Price $662.82 / $662.82 / $673.53	Professional		$662.82	$662.82	$673.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $94.73 / $125.04	Professional	26	$94.73	$94.73	$125.04
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $364.53 / $709.20 / $1,174.21	Professional		$364.53	$709.20	$1,174.21
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $110.36 / $145.47	Professional	26	$70.80	$110.36	$145.47