Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.07 / $11.42 / $13.43	Facility	26	$10.07	$11.42	$13.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $40.34 / $142.78	Professional		$32.92	$40.34	$142.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $11.11 / $15.39	Professional	26	$10.02	$11.11	$15.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.87 / $28.02 / $46.22	Professional	TC	$22.87	$28.02	$46.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.56 / $11.56 / $11.56	Facility	26	$11.56	$11.56	$11.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $39.04 / $55.89	Professional		$23.85	$39.04	$55.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $12.70 / $14.93	Professional	26	$11.42	$12.70	$14.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.82 / $28.05 / $40.97	Professional	TC	$24.82	$28.05	$40.97
HMSA Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $17.64 / $50.85	Professional		$13.05	$17.64	$50.85
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $14.97 / $15.35	Professional	26	$14.30	$14.97	$15.35
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $35.88 / $35.88	Professional	TC	$34.27	$35.88	$35.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $44.71 / $52.16	Professional		$40.99	$44.71	$52.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.95 / $11.94 / $13.93	Professional	26	$10.95	$11.94	$13.93
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $30.04 / $32.77 / $34.68	Professional	TC	$30.04	$32.77	$34.68
United Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $50.30 / $57.35	Professional		$18.72	$50.30	$57.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $13.43 / $17.36	Professional	26	$6.31	$13.43	$17.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.41 / $36.86 / $39.99	Professional	TC	$12.41	$36.86	$39.99
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $55.95 / $78.38	Professional		$39.04	$55.95	$78.38
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.06 / $15.76 / $23.72	Professional	26	$11.06	$15.76	$23.72
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $27.99 / $40.95 / $55.59	Professional	TC	$27.99	$40.95	$55.59