Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.72 / $9.88 / $11.62	Facility	26	$8.72	$9.88	$11.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $30.49 / $55.75	Professional		$24.92	$30.49	$55.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $11.11 / $44.75	Professional	26	$7.33	$11.11	$44.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $21.53 / $42.43	Professional	TC	$17.57	$21.53	$42.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $31.82 / $45.48	Professional		$26.40	$31.82	$45.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $9.88 / $12.21	Professional	26	$9.18	$9.88	$12.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.73 / $22.33 / $33.86	Professional	TC	$16.73	$22.33	$33.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $31.15 / $51.45	Professional		$10.34	$31.15	$51.45
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $11.86 / $12.16	Professional	26	$11.33	$11.86	$12.16
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $32.61 / $37.52 / $39.29	Professional	TC	$32.61	$37.52	$39.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $40.43 / $47.17	Professional		$37.06	$40.43	$47.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $10.33 / $12.05	Professional	26	$9.47	$10.33	$12.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $30.10 / $31.85	Professional	TC	$27.59	$30.10	$31.85
United Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $45.48 / $51.38	Professional		$16.76	$45.48	$51.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.30 / $11.62 / $14.49	Professional	26	$5.30	$11.62	$14.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.46 / $27.17 / $36.89	Professional	TC	$11.46	$27.17	$36.89
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $49.13 / $72.98	Professional		$28.85	$49.13	$72.98
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.94 / $12.84 / $20.29	Professional	26	$8.94	$12.84	$20.29
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $20.96 / $34.59 / $52.69	Professional	TC	$20.96	$34.59	$52.69