Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $53.64 / $324.92	Professional		$46.02	$53.64	$324.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.26 / $29.08 / $50.50	Professional	26	$21.26	$29.08	$50.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $197.87 / $242.49	Professional		$158.02	$197.87	$242.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $32.77 / $40.15	Professional	26	$28.27	$32.77	$40.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $95.15 / $258.83	Professional		$37.71	$95.15	$258.83
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $40.01 / $41.90 / $42.94	Professional	26	$40.01	$41.90	$42.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $232.79 / $271.58	Professional		$199.81	$232.79	$271.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.09 / $38.56 / $44.98	Professional	26	$33.09	$38.56	$44.98
United Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $199.85 / $242.49	Professional		$96.57	$199.85	$242.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.96 / $40.15 / $51.48	Professional	26	$35.96	$40.15	$51.48
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $200.95 / $206.49	Professional		$200.95	$200.95	$206.49
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $32.52 / $32.52 / $33.40	Professional	26	$32.52	$32.52	$33.40