Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $12.15 / $14.30	Facility	26	$10.72	$12.15	$14.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $57.20 / $70.16	Professional		$34.17	$57.20	$70.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.41 / $14.30 / $16.36	Professional	26	$9.41	$14.30	$16.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.75 / $28.18 / $53.79	Professional	TC	$24.75	$28.18	$53.79
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.36 / $12.36 / $12.36	Facility	26	$12.36	$12.36	$12.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $41.62 / $59.01	Professional		$29.53	$41.62	$59.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $12.45 / $15.51	Professional	26	$11.88	$12.45	$15.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.89 / $32.36 / $43.93	Professional	TC	$26.89	$32.36	$43.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $54.31 / $57.22	Professional		$12.31	$54.31	$57.22
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $14.13 / $14.48	Professional	26	$13.49	$14.13	$14.48
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $40.82 / $42.74 / $42.74	Professional	TC	$40.82	$42.74	$42.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $50.84 / $59.32	Professional		$46.61	$50.84	$59.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.65 / $12.71 / $14.83	Professional	26	$11.65	$12.71	$14.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.95 / $38.11 / $40.35	Professional	TC	$34.95	$38.11	$40.35
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $52.48 / $64.62	Professional		$21.04	$52.48	$64.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.79 / $18.45 / $88.48	Professional	26	$11.79	$18.45	$88.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.32 / $37.45 / $46.17	Professional	TC	$14.32	$37.45	$46.17
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $62.48 / $83.78	Professional		$40.08	$62.48	$83.78
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $15.99 / $22.90	Professional	26	$10.24	$15.99	$22.90
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $29.84 / $46.54 / $61.58	Professional	TC	$29.84	$46.54	$61.58