Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.18 / $1,260.18 / $2,078.50	Professional		$1,260.18	$1,260.18	$2,078.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $363.17 / $399.99 / $1,893.00	Professional	26	$363.17	$399.99	$1,893.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.01 / $1,576.21 / $2,369.71	Professional		$1,440.01	$1,576.21	$2,369.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $432.23 / $478.81 / $641.49	Professional	26	$432.23	$478.81	$641.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $495.05 / $564.36 / $13,672.00	Professional		$495.05	$564.36	$13,672.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.07 / $1,513.16 / $1,765.36	Professional		$1,387.07	$1,513.16	$1,765.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $380.36 / $414.94 / $484.09	Professional	26	$380.36	$414.94	$484.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.19 / $1,576.21 / $2,178.90	Professional		$1,286.19	$1,576.21	$2,178.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $352.70 / $454.50 / $583.71	Professional	26	$352.70	$454.50	$583.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,461.28 / $10,610.00 / $18,532.00	Professional		$1,461.28	$10,610.00	$18,532.00
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $264.77 / $431.22 / $982.77	Professional	26	$264.77	$431.22	$982.77