Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $66.07 / $81.28	Facility	26	$58.88	$66.07	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $309.03	Professional		$100.00	$123.03	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $69.18 / $331.13	Professional	26	$57.54	$69.18	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $173.78	Professional		$134.90	$154.88	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $83.18 / $97.72	Professional	26	$77.62	$83.18	$97.72
HMSA Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $162.18	Professional		$79.43	$100.00	$162.18
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $85.11 / $87.10	Professional	26	$81.28	$85.11	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $190.55	Professional		$141.25	$154.88	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $83.18 / $104.71	Professional	26	$77.62	$83.18	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $169.82	Professional		$107.15	$138.04	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $79.43 / $93.33	Professional	26	$63.10	$79.43	$93.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $165.96	Professional		$93.33	$144.54	$165.96
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $77.62 / $89.13	Professional	26	$50.12	$77.62	$89.13