Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.49 / $15.14 / $18.20	Facility	26	$13.49	$15.14	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $234.42	Professional		$33.11	$50.12	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.88 / $29.51	Professional	26	$10.00	$12.88	$29.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $53.70	Professional	TC	$21.88	$33.11	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $89.13	Professional		$37.15	$53.70	$89.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $16.98 / $30.20	Professional	26	$11.22	$16.98	$30.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $36.31 / $58.88	Professional	TC	$26.30	$36.31	$58.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $72.44	Professional		$44.67	$69.18	$72.44
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $18.20 / $19.05	Professional	26	$17.38	$18.20	$19.05
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $50.12 / $50.12 / $52.48	Professional	TC	$50.12	$50.12	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $72.44	Professional		$56.23	$61.66	$72.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $16.22 / $18.62	Professional	26	$14.79	$16.22	$18.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $45.71 / $53.70	Professional	TC	$41.69	$45.71	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $95.50	Professional		$56.23	$61.66	$95.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $18.20 / $27.54	Professional	26	$15.49	$18.20	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $41.69 / $66.07	Professional	TC	$40.74	$41.69	$66.07
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $95.50	Professional		$51.29	$75.86	$95.50
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $30.20	Professional	26	$15.14	$19.95	$30.20
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $56.23 / $69.18	Professional	TC	$36.31	$56.23	$69.18