Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $346.06 / $637.55	Professional		$211.67	$346.06	$637.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $56.89 / $187.00	Professional	26	$45.00	$56.89	$187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.16 / $388.15 / $475.68	Professional		$250.16	$388.15	$475.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $69.66 / $70.93	Professional	26	$56.84	$69.66	$70.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $396.55 / $492.25	Professional		$65.45	$396.55	$492.25
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $71.75 / $75.13 / $77.00	Professional	26	$71.75	$75.13	$77.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.59 / $456.65 / $532.76	Professional		$418.59	$456.65	$532.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $61.30 / $66.88 / $78.02	Professional	26	$61.30	$66.88	$78.02
United Facility/Professional Professional Modifier Low / Median / High Price $334.88 / $419.09 / $565.10	Professional		$334.88	$419.09	$565.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.84 / $69.66 / $92.15	Professional	26	$56.84	$69.66	$92.15
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $215.58 / $323.45 / $475.03	Professional		$215.58	$323.45	$475.03
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $43.00 / $62.55 / $76.17	Professional	26	$43.00	$62.55	$76.17