Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.38 / $9.50 / $11.18	Facility	26	$8.38	$9.50	$11.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $33.49 / $57.80	Professional		$28.03	$33.49	$57.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $8.94 / $12.84	Professional	26	$7.63	$8.94	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.98 / $44.96	Professional	TC	$20.39	$24.98	$44.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $36.07 / $49.56	Professional		$33.58	$36.07	$49.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.80 / $12.17	Professional	26	$9.50	$9.80	$12.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $25.68 / $37.39	Professional	TC	$23.99	$25.68	$37.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $45.30 / $47.72	Professional		$9.81	$45.30	$47.72
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $11.26 / $11.54	Professional	26	$10.75	$11.26	$11.54
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $36.18 / $36.18	Professional	TC	$34.54	$36.18	$36.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $41.82 / $48.79	Professional		$38.34	$41.82	$48.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $9.94 / $11.59	Professional	26	$9.11	$9.94	$11.59
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $31.88 / $33.74	Professional	TC	$29.23	$31.88	$33.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $47.05 / $52.07	Professional		$16.93	$47.05	$52.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $11.18 / $13.94	Professional	26	$5.09	$11.18	$13.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.84 / $35.86 / $38.13	Professional	TC	$11.84	$35.86	$38.13
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $51.20 / $76.77	Professional		$33.29	$51.20	$76.77
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.45 / $21.23	Professional	26	$8.27	$12.45	$21.23
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $25.03 / $39.06 / $55.55	Professional	TC	$25.03	$39.06	$55.55