Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.80 / $15.49 / $18.62	Facility	26	$13.80	$15.49	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $128.82	Professional		$28.84	$45.71	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.13 / $47.86	Professional	26	$10.00	$14.13	$47.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $28.84 / $54.95	Professional	TC	$18.20	$28.84	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.22 / $29.51	Professional	26	$10.96	$16.22	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $33.11 / $53.70	Professional	TC	$23.99	$33.11	$53.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $64.57	Professional		$40.74	$58.88	$64.57
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $18.62 / $19.50	Professional	26	$17.78	$18.62	$19.50
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $43.65 / $45.71	Professional	TC	$43.65	$43.65	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $66.07	Professional		$52.48	$56.23	$66.07
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $16.60 / $19.05	Professional	26	$15.14	$16.60	$19.05
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $40.74 / $46.77	Professional	TC	$37.15	$40.74	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $87.10	Professional		$51.29	$54.95	$87.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $18.62 / $28.18	Professional	26	$15.85	$18.62	$28.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $38.02 / $57.54	Professional	TC	$34.67	$38.02	$57.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $93.33	Professional		$48.98	$69.18	$93.33
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $20.42 / $30.90	Professional	26	$14.79	$20.42	$30.90
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $48.98 / $66.07	Professional	TC	$34.67	$48.98	$66.07