Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $114.82	Professional		$56.23	$72.44	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $19.95 / $97.72	Professional	26	$18.20	$19.95	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $138.04	Professional		$81.28	$97.72	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $23.44 / $33.11	Professional	26	$19.05	$23.44	$33.11
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $89.13 / $102.33	Professional		$30.90	$89.13	$102.33
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $26.30 / $26.92	Professional	26	$25.12	$26.30	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $134.90	Professional		$95.50	$107.15	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $24.55 / $30.90	Professional	26	$21.88	$24.55	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $100.00	Professional		$33.88	$74.13	$100.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $23.99 / $30.20	Professional	26	$15.85	$23.99	$30.20
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $114.82	Professional		$64.57	$81.28	$114.82
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $22.91 / $25.70	Professional	26	$14.45	$22.91	$25.70