Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $389.05	Professional		$194.98	$269.15	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $151.36	Professional	26	$40.74	$57.54	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $489.78	Professional		$223.87	$309.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $69.18 / $114.82	Professional	26	$57.54	$69.18	$114.82
HMSA Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $389.05 / $426.58	Professional		$93.33	$389.05	$426.58
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $77.62 / $83.18	Professional	26	$74.13	$77.62	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $457.09 / $524.81	Professional		$416.87	$457.09	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $67.61 / $79.43	Professional	26	$61.66	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $457.09	Professional		$269.15	$331.13	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $69.18 / $112.20	Professional	26	$52.48	$69.18	$112.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $354.81	Professional		$199.53	$323.59	$354.81
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $66.07 / $70.79	Professional	26	$39.81	$66.07	$70.79