Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $123.03	Professional		$81.28	$91.20	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $32.36 / $41.69	Professional	26	$28.18	$32.36	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $257.04	Professional		$97.72	$114.82	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $39.81 / $83.18	Professional	26	$31.62	$39.81	$83.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $134.90	Professional		$48.98	$123.03	$134.90
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $43.65 / $44.67	Professional	26	$41.69	$43.65	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $154.88	Professional		$102.33	$123.03	$154.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $48.98	Professional	26	$32.36	$38.90	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $173.78	Professional		$85.11	$112.20	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $38.90 / $61.66	Professional	26	$30.20	$38.90	$61.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $371.54	Professional		$69.18	$112.20	$371.54
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $34.67 / $41.69	Professional	26	$23.44	$34.67	$41.69