Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $11.78 / $13.86	Facility	26	$10.40	$11.78	$13.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $42.46 / $67.15	Professional		$35.04	$42.46	$67.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.60 / $11.77 / $16.60	Professional	26	$10.60	$11.77	$16.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.44 / $29.94 / $51.26	Professional	TC	$24.44	$29.94	$51.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.95 / $11.95 / $11.95	Facility	26	$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $45.67 / $60.84	Professional		$41.97	$45.67	$60.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $13.80 / $15.71	Professional	26	$11.78	$13.80	$15.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.14 / $31.41 / $44.47	Professional	TC	$28.14	$31.41	$44.47
HMSA Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $55.72 / $58.75	Professional		$14.36	$55.72	$58.75
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $15.74 / $16.48 / $16.89	Professional	26	$15.74	$16.48	$16.89
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $39.97 / $41.86 / $41.86	Professional	TC	$39.97	$41.86	$41.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $48.67 / $56.78	Professional		$44.62	$48.67	$56.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $12.32 / $14.38	Professional	26	$11.30	$12.32	$14.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $36.35 / $38.47	Professional	TC	$33.32	$36.35	$38.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $54.76 / $61.61	Professional		$20.07	$54.76	$61.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $13.86 / $17.91	Professional	26	$6.52	$13.86	$17.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $13.55 / $40.89 / $43.70	Professional	TC	$13.55	$40.89	$43.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $62.87 / $96.69	Professional		$42.15	$62.87	$96.69
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $16.30 / $28.43	Professional	26	$11.95	$16.30	$28.43
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $45.54 / $65.98	Professional	TC	$30.20	$45.54	$65.98