Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.72 / $9.88 / $11.62	Facility	26	$8.72	$9.88	$11.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.81 / $58.91	Professional		$25.85	$30.81	$58.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.13 / $13.32	Professional	26	$7.33	$8.13	$13.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.53 / $22.68 / $45.59	Professional	TC	$18.53	$22.68	$45.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.67 / $9.67 / $9.67	Facility	26	$9.67	$9.67	$9.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $32.29 / $47.99	Professional		$26.40	$32.29	$47.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $9.88 / $11.63	Professional	26	$9.18	$9.88	$11.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $22.51 / $36.36	Professional	TC	$16.73	$22.51	$36.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $30.27 / $49.63	Professional		$10.34	$30.27	$49.63
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $11.86 / $12.16	Professional	26	$11.33	$11.86	$12.16
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.06 / $38.02 / $39.81	Professional	TC	$34.06	$38.02	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $42.66 / $49.77	Professional		$39.11	$42.66	$49.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $10.33 / $12.05	Professional	26	$9.47	$10.33	$12.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.63 / $32.33 / $34.21	Professional	TC	$29.63	$32.33	$34.21
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $47.99 / $52.07	Professional		$16.93	$47.99	$52.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $12.61 / $87.90	Professional	26	$8.53	$12.61	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $36.36 / $38.75	Professional	TC	$12.03	$36.36	$38.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $50.33 / $72.04	Professional		$29.50	$50.33	$72.04
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.90 / $12.61 / $20.29	Professional	26	$7.90	$12.61	$20.29
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $21.96 / $34.92 / $51.75	Professional	TC	$21.96	$34.92	$51.75