Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.13 / $11.48 / $13.50	Facility	26	$10.13	$11.48	$13.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $22.57 / $32.14	Professional		$19.26	$22.57	$32.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $10.21 / $15.54	Professional	26	$9.14	$10.21	$15.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.35 / $16.60	Professional	TC	$10.11	$12.35	$16.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $26.86 / $34.35	Professional		$22.57	$26.86	$34.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.30 / $12.29 / $15.00	Professional	26	$11.30	$12.29	$15.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.29 / $14.76 / $23.05	Professional	TC	$10.29	$14.76	$23.05
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $41.86 / $44.21	Professional		$11.48	$41.86	$44.21
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $12.58 / $13.17 / $13.51	Professional	26	$12.58	$13.17	$13.51
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $29.28 / $30.66 / $30.70	Professional	TC	$29.28	$30.66	$30.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $23.81 / $27.78	Professional		$21.82	$23.81	$27.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $12.00 / $14.00	Professional	26	$11.00	$12.00	$14.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.82 / $11.81 / $12.50	Professional	TC	$10.82	$11.81	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $26.78 / $31.42	Professional		$10.70	$26.78	$31.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.10 / $13.50 / $17.32	Professional	26	$6.10	$13.50	$17.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $4.59 / $13.28 / $14.60	Professional	TC	$4.59	$13.28	$14.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $31.75 / $54.34	Professional		$22.04	$31.75	$54.34
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $14.66 / $26.65	Professional	26	$10.34	$14.66	$26.65
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $11.53 / $15.02 / $35.02	Professional	TC	$11.53	$15.02	$35.02