Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.68 / $8.71 / $10.25	Facility	26	$7.68	$8.71	$10.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.60 / $42.81	Professional		$21.53	$25.60	$42.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.74 / $7.50 / $15.88	Professional	26	$6.74	$7.50	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $18.09 / $31.09	Professional	TC	$14.78	$18.09	$31.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $25.18 / $37.17	Professional		$18.17	$25.18	$37.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.43 / $8.71 / $10.81	Professional	26	$8.43	$8.71	$10.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.10 / $19.25 / $26.49	Professional	TC	$16.10	$19.25	$26.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.34 / $33.94	Professional		$9.11	$12.34	$33.94
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.47 / $10.73	Professional	26	$10.00	$10.47	$10.73
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $23.94 / $25.07 / $25.07	Professional	TC	$23.94	$25.07	$25.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $31.18 / $36.36	Professional		$28.58	$31.18	$36.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $9.11 / $10.63	Professional	26	$8.35	$9.11	$10.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $22.07 / $23.36	Professional	TC	$20.23	$22.07	$23.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $35.07 / $40.38	Professional		$13.29	$35.07	$40.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $10.25 / $12.78	Professional	26	$4.69	$10.25	$12.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $8.60 / $19.97 / $27.60	Professional	TC	$8.60	$19.97	$27.60
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $38.15 / $50.42	Professional		$25.25	$38.15	$50.42
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $11.26 / $16.20	Professional	26	$7.25	$11.26	$16.20
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $17.98 / $27.03 / $35.61	Professional	TC	$17.98	$27.03	$35.61