Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $9.55 / $11.22	Facility	26	$8.32	$9.55	$11.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $117.49	Professional		$22.91	$33.88	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.94 / $40.74	Professional	26	$6.03	$7.94	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $42.66	Professional	TC	$15.85	$22.91	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $63.10	Professional		$26.92	$36.31	$63.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.47 / $18.62	Professional	26	$6.92	$10.47	$18.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $44.67	Professional	TC	$19.95	$25.70	$44.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $47.86	Professional		$33.11	$46.77	$47.86
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.96 / $11.48	Professional	26	$10.72	$10.96	$11.48
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $34.67 / $36.31	Professional	TC	$34.67	$34.67	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $50.12	Professional		$38.90	$42.66	$50.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.23 / $12.02	Professional	26	$9.33	$10.23	$12.02
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $32.36 / $38.02	Professional	TC	$30.20	$32.36	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $63.10	Professional		$38.02	$43.65	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $11.22 / $16.98	Professional	26	$9.77	$11.22	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.20 / $44.67	Professional	TC	$28.18	$30.20	$44.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $69.18	Professional		$38.02	$51.29	$69.18
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.59 / $18.62	Professional	26	$9.33	$12.59	$18.62
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $52.48	Professional	TC	$28.18	$38.90	$52.48