Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $75.79 / $177.68	Professional		$64.93	$75.79	$177.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $46.93 / $63.14	Professional	26	$41.79	$46.93	$63.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $81.95 / $118.71	Professional		$58.00	$81.95	$118.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.04 / $45.21 / $72.62	Professional	26	$35.04	$45.21	$72.62
HMSA Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.45 / $102.94	Professional		$38.90	$52.45	$102.94
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $56.35 / $59.01 / $61.45	Professional	26	$56.35	$59.01	$61.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $94.97 / $110.80	Professional		$80.72	$94.97	$110.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $48.82 / $56.95	Professional	26	$41.49	$48.82	$56.95
United Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $98.55 / $118.91	Professional		$71.23	$98.55	$118.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $50.85 / $69.02	Professional	26	$41.49	$50.85	$69.02
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $98.33 / $163.74	Professional		$60.38	$98.33	$163.74
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $50.72 / $91.46	Professional	26	$31.14	$50.72	$91.46