Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.82 / $15.66 / $18.43	Facility	26	$13.82	$15.66	$18.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $45.02 / $60.16	Professional		$36.88	$45.02	$60.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.50 / $12.78 / $21.16	Professional	26	$11.50	$12.78	$21.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $31.08 / $56.30	Professional	TC	$25.37	$31.08	$56.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.80 / $15.80 / $15.80	Facility	26	$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $49.37 / $64.64	Professional		$41.89	$49.37	$64.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.99 / $15.66 / $19.73	Professional	26	$14.99	$15.66	$19.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $33.24 / $45.56	Professional	TC	$26.89	$33.24	$45.56
HMSA Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $22.17 / $64.09	Professional		$16.39	$22.17	$64.09
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $17.96 / $18.80 / $19.28	Professional	26	$17.96	$18.80	$19.28
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $43.24 / $45.28 / $45.28	Professional	TC	$43.24	$45.28	$45.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $56.29 / $65.67	Professional		$51.60	$56.29	$65.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.02 / $16.38 / $19.11	Professional	26	$15.02	$16.38	$19.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $39.90 / $42.24	Professional	TC	$36.59	$39.90	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $63.33 / $72.23	Professional		$23.62	$63.33	$72.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.55 / $18.43 / $23.58	Professional	26	$8.55	$18.43	$23.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.07 / $44.90 / $48.65	Professional	TC	$15.07	$44.90	$48.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $68.90 / $102.31	Professional		$43.52	$68.90	$102.31
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $12.96 / $20.26 / $35.50	Professional	26	$12.96	$20.26	$35.50
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $30.58 / $48.89 / $66.79	Professional	TC	$30.58	$48.89	$66.79