Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $164.25 / $210.61	Professional		$142.13	$164.25	$210.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.35 / $70.87 / $277.88	Professional	26	$61.35	$70.87	$277.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $202.81 / $348.00	Professional		$148.30	$202.81	$348.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.73 / $82.46 / $142.72	Professional	26	$68.73	$82.46	$142.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $110.22 / $220.37	Professional		$79.01	$110.22	$220.37
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $86.60 / $90.68 / $92.95	Professional	26	$86.60	$90.68	$92.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $197.11 / $229.96	Professional		$174.12	$197.11	$229.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.93 / $79.16 / $92.36	Professional	26	$69.93	$79.16	$92.36
United Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $193.06 / $344.41	Professional		$130.50	$193.06	$344.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.92 / $82.46 / $123.18	Professional	26	$61.92	$82.46	$123.18
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $196.67 / $327.92	Professional		$146.63	$196.67	$327.92
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $61.12 / $80.19 / $134.58	Professional	26	$61.12	$80.19	$134.58