Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $167.55 / $167.55	Professional		$167.55	$167.55	$167.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $64.20 / $64.20	Professional	26	$64.20	$64.20	$64.20
HMSA Facility/Professional Professional Modifier Low / Median / High Price $91.77 / $157.55 / $275.63	Professional		$91.77	$157.55	$275.63
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $103.10 / $107.96 / $110.66	Professional	26	$103.10	$107.96	$110.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $160.85 / $187.66	Professional		$147.44	$160.85	$187.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.50 / $61.63 / $71.90	Professional	26	$56.50	$61.63	$71.90
United Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $167.55 / $226.98	Professional		$167.55	$167.55	$226.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.20 / $64.20 / $90.03	Professional	26	$64.20	$64.20	$90.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $195.16 / $298.70	Professional		$167.14	$195.16	$298.70
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $75.38 / $118.76	Professional	26	$66.70	$75.38	$118.76