Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.46 / $10.14 / $16.64	Professional	26	$7.46	$10.14	$16.64
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.57 / $28.41 / $50.00	Professional	TC	$18.57	$28.41	$50.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.72 / $12.34 / $15.15	Professional	26	$11.72	$12.34	$15.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.97 / $30.26 / $42.84	Professional	TC	$24.97	$30.26	$42.84
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $14.73 / $15.10	Professional	26	$14.07	$14.73	$15.10
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $39.36 / $41.23 / $41.30	Professional	TC	$39.36	$41.23	$41.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $12.83 / $14.97	Professional	26	$11.76	$12.83	$14.97
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.49 / $35.45 / $37.52	Professional	TC	$32.49	$35.45	$37.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.50 / $14.43 / $17.98	Professional	26	$6.50	$14.43	$17.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.50 / $39.88 / $46.79	Professional	TC	$14.50	$39.88	$46.79
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $15.67 / $27.39	Professional	26	$10.30	$15.67	$27.39
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $28.35 / $43.42 / $65.02	Professional	TC	$28.35	$43.42	$65.02