Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $213.80	Professional		$141.25	$162.18	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $70.79 / $151.36	Professional	26	$61.66	$70.79	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $446.68	Professional		$162.18	$194.98	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $81.28 / $177.83	Professional	26	$69.18	$81.28	$177.83
HMSA Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $218.78	Professional		$95.50	$141.25	$218.78
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $91.20 / $93.33	Professional	26	$87.10	$91.20	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $269.15	Professional		$181.97	$218.78	$269.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $83.18 / $104.71	Professional	26	$69.18	$83.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $288.40	Professional		$131.83	$194.98	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $83.18 / $123.03	Professional	26	$61.66	$83.18	$123.03
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $331.13	Professional		$147.91	$194.98	$331.13
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $79.43 / $134.90	Professional	26	$61.66	$79.43	$134.90