Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $97.72	Professional		$63.10	$75.86	$97.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $28.84	Professional	26	$19.95	$22.91	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $269.15	Professional		$69.18	$91.20	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $28.18 / $85.11	Professional	26	$21.38	$28.18	$85.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $97.72 / $104.71	Professional		$36.31	$97.72	$104.71
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $30.90 / $31.62	Professional	26	$29.51	$30.90	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $109.65	Professional		$72.44	$87.10	$109.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.30 / $33.11	Professional	26	$21.88	$26.30	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $141.25	Professional		$67.61	$85.11	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.38 / $26.30 / $41.69	Professional	26	$21.38	$26.30	$41.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $95.50	Professional		$53.70	$89.13	$95.50
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $23.99 / $29.51	Professional	26	$16.60	$23.99	$29.51