Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $151.36 / $157.30	Professional		$137.59	$151.36	$157.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $25.36 / $26.63	Professional	26	$23.05	$25.36	$26.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.72 / $26.72 / $26.72	Facility	26	$26.72	$26.72	$26.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $179.29 / $385.37	Professional		$130.90	$179.29	$385.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.49 / $27.15 / $50.11	Professional	26	$21.49	$27.15	$50.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $173.48 / $192.62	Professional		$29.23	$173.48	$192.62
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $31.19 / $32.65	Professional	26	$30.43	$31.19	$32.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $172.12 / $200.80	Professional		$157.77	$172.12	$200.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.89 / $26.06 / $30.41	Professional	26	$23.89	$26.06	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $179.29 / $264.20	Professional		$140.03	$179.29	$264.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.15 / $27.15 / $38.07	Professional	26	$22.15	$27.15	$38.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $156.97 / $352.84	Professional		$106.07	$156.97	$352.84
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $17.14 / $24.78 / $58.37	Professional	26	$17.14	$24.78	$58.37