Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.63 / $1,179.63 / $1,875.02	Professional		$1,179.63	$1,179.63	$1,875.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $316.97 / $357.49 / $1,294.00	Professional	26	$316.97	$357.49	$1,294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.64 / $1,421.48 / $2,215.03	Professional		$1,344.64	$1,421.48	$2,215.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $385.73 / $429.77 / $575.77	Professional	26	$385.73	$429.77	$575.77
HMSA Facility/Professional Professional Modifier Low / Median / High Price $444.29 / $506.52 / $13,672.00	Professional		$444.29	$506.52	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.90 / $1,364.62 / $1,592.05	Professional		$1,250.90	$1,364.62	$1,592.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $339.44 / $370.30 / $432.01	Professional	26	$339.44	$370.30	$432.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,159.92 / $1,421.48 / $1,969.41	Professional		$1,159.92	$1,421.48	$1,969.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $314.75 / $406.10 / $522.26	Professional	26	$314.75	$406.10	$522.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,118.97 / $4,824.31 / $13,715.00	Professional		$1,118.97	$4,824.31	$13,715.00
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $236.50 / $385.16 / $882.15	Professional	26	$236.50	$385.16	$882.15