Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.78 / $11.10 / $13.05	Facility	26	$9.78	$11.10	$13.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $33.47 / $56.88	Professional		$21.73	$33.47	$56.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $9.98 / $15.06	Professional	26	$6.77	$9.98	$15.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.95 / $23.48 / $41.81	Professional	TC	$14.95	$23.48	$41.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $36.03 / $47.78	Professional		$33.50	$36.03	$47.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.50 / $11.52 / $14.21	Professional	26	$10.50	$11.52	$14.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $24.97 / $33.57	Professional	TC	$21.91	$24.97	$33.57
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $41.09 / $46.87	Professional		$11.59	$41.09	$46.87
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $13.32 / $13.64	Professional	26	$12.72	$13.32	$13.64
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $33.22 / $33.22	Professional	TC	$31.73	$33.22	$33.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $41.26 / $48.13	Professional		$37.82	$41.26	$48.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.64 / $11.60 / $13.54	Professional	26	$10.64	$11.60	$13.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.18 / $29.65 / $31.38	Professional	TC	$27.18	$29.65	$31.38
United Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $46.41 / $52.54	Professional		$17.16	$46.41	$52.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $13.05 / $16.28	Professional	26	$5.89	$13.05	$16.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.27 / $33.36 / $36.26	Professional	TC	$11.27	$33.36	$36.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $52.02 / $76.54	Professional		$36.69	$52.02	$76.54
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $14.19 / $25.74	Professional	26	$9.65	$14.19	$25.74
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $22.80 / $37.32 / $52.16	Professional	TC	$22.80	$37.32	$52.16