Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.54 / $45.95 / $56.31	Facility	26	$40.54	$45.95	$56.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $62.51 / $108.65	Professional		$53.68	$62.51	$108.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.45 / $43.45 / $70.61	Professional	26	$38.45	$43.45	$70.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $84.41 / $98.71	Professional		$68.88	$84.41	$98.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $58.38 / $67.86	Professional	26	$45.95	$58.38	$67.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $31.91 / $88.69	Professional		$22.72	$31.91	$88.69
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $57.73 / $59.17 / $61.96	Professional	26	$57.73	$59.17	$61.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $81.04 / $94.54	Professional		$74.28	$81.04	$94.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.56 / $54.06 / $63.07	Professional	26	$49.56	$54.06	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $81.20 / $104.17	Professional		$59.57	$81.20	$104.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.95 / $56.31 / $72.23	Professional	26	$45.95	$56.31	$72.23
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $49.02 / $59.53	Professional		$49.02	$49.02	$59.53
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $33.08 / $33.08 / $40.17	Professional	26	$33.08	$33.08	$40.17