Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $886.22 / $1,524.95	Professional		$886.22	$886.22	$1,524.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.16 / $261.11 / $988.06	Professional	26	$237.16	$261.11	$988.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.56 / $1,152.19 / $1,677.51	Professional		$1,008.56	$1,152.19	$1,677.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $276.02 / $313.05 / $418.79	Professional	26	$276.02	$313.05	$418.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $331.56 / $423.66 / $10,286.10	Professional		$331.56	$423.66	$10,286.10
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $368.40 / $368.40 / $368.40	Professional	26	$368.40	$368.40	$368.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.93 / $1,106.09 / $1,290.45	Professional		$1,013.93	$1,106.09	$1,290.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $242.90 / $264.98 / $309.14	Professional	26	$242.90	$264.98	$309.14
United Facility/Professional Professional Modifier Low / Median / High Price $940.19 / $1,152.19 / $1,550.86	Professional		$940.19	$1,152.19	$1,550.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $225.24 / $290.62 / $373.07	Professional	26	$225.24	$290.62	$373.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,069.72 / $10,928.00 / $18,532.00	Professional		$1,069.72	$10,928.00	$18,532.00
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $169.38 / $275.85 / $640.65	Professional	26	$169.38	$275.85	$640.65