Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.46 / $14.13 / $16.62	Facility	26	$12.46	$14.13	$16.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $46.24 / $83.57	Professional		$38.77	$46.24	$83.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.21 / $13.07 / $19.07	Professional	26	$11.21	$13.07	$19.07
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.55 / $33.76 / $64.50	Professional	TC	$27.55	$33.76	$64.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $51.68 / $68.04	Professional		$45.60	$51.68	$68.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.62 / $18.05	Professional	26	$14.13	$14.62	$18.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $31.41 / $35.99 / $51.42	Professional	TC	$31.41	$35.99	$51.42
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $51.78 / $70.25	Professional		$14.79	$51.78	$70.25
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $16.98 / $17.39	Professional	26	$16.22	$16.98	$17.39
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $50.47 / $52.85 / $52.85	Professional	TC	$50.47	$52.85	$52.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $60.48 / $70.56	Professional		$55.44	$60.48	$70.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $14.77 / $17.23	Professional	26	$13.54	$14.77	$17.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.90 / $45.71 / $48.37	Professional	TC	$41.90	$45.71	$48.37
United Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $68.04 / $77.41	Professional		$25.09	$68.04	$77.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $16.62 / $21.32	Professional	26	$7.73	$16.62	$21.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $51.42 / $56.09	Professional	TC	$17.36	$51.42	$56.09
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $74.04 / $107.02	Professional		$46.45	$74.04	$107.02
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $18.54 / $32.50	Professional	26	$12.26	$18.54	$32.50
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $35.15 / $55.99 / $74.52	Professional	TC	$35.15	$55.99	$74.52