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 $29.87 / $35.71 / $69.62	Professional		$29.87	$35.71	$69.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.92 / $8.82 / $18.71	Professional	26	$7.92	$8.82	$18.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.94 / $26.88 / $56.30	Professional	TC	$21.94	$26.88	$56.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $37.28 / $56.51	Professional		$30.67	$37.28	$56.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $10.23 / $12.65	Professional	26	$9.88	$10.23	$12.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $27.31 / $44.90	Professional	TC	$20.59	$27.31	$44.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $37.81 / $63.54	Professional		$10.24	$37.81	$63.54
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.23 / $11.76 / $12.05	Professional	26	$11.23	$11.76	$12.05
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $42.75 / $49.17 / $51.49	Professional	TC	$42.75	$49.17	$51.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $50.23 / $58.60	Professional		$46.05	$50.23	$58.60
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 $36.59 / $39.90 / $42.24	Professional	TC	$36.59	$39.90	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $48.08 / $61.91	Professional		$20.00	$48.08	$61.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.30 / $11.62 / $14.49	Professional	26	$5.30	$11.62	$14.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.70 / $44.90 / $47.42	Professional	TC	$14.70	$44.90	$47.42
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $56.36 / $85.22	Professional		$36.95	$56.36	$85.22
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $12.98 / $22.08	Professional	26	$8.59	$12.98	$22.08
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $42.06 / $63.14	Professional	TC	$28.35	$42.06	$63.14