Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $10.61 / $12.49	Facility	26	$9.36	$10.61	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $34.42 / $59.24	Professional		$28.91	$34.42	$59.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.44 / $14.28	Professional	26	$8.51	$9.44	$14.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.98 / $44.96	Professional	TC	$20.39	$24.98	$44.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $39.67 / $49.89	Professional		$33.04	$39.67	$49.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $11.58 / $13.62	Professional	26	$10.61	$11.58	$13.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $27.19 / $36.29	Professional	TC	$21.91	$27.19	$36.29
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.54 / $49.85	Professional		$11.48	$15.54	$49.85
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 $35.03 / $36.68 / $36.68	Professional	TC	$35.03	$36.68	$36.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $42.98 / $50.15	Professional		$39.40	$42.98	$50.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $11.10 / $12.95	Professional	26	$10.18	$11.10	$12.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.23 / $31.88 / $33.74	Professional	TC	$29.23	$31.88	$33.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $44.84 / $54.95	Professional		$17.94	$44.84	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.91 / $12.81 / $16.20	Professional	26	$5.91	$12.81	$16.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $35.86 / $38.75	Professional	TC	$12.03	$35.86	$38.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.82 / $76.43	Professional		$33.88	$53.82	$76.43
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.59 / $14.38 / $24.68	Professional	26	$9.59	$14.38	$24.68
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $39.06 / $52.29	Professional	TC	$24.40	$39.06	$52.29