Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.46 / $14.13 / $16.62	Facility	26	$12.46	$14.13	$16.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $41.76 / $76.64	Professional		$35.09	$41.76	$76.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $17.20 / $56.60	Professional	26	$11.82	$17.20	$56.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $27.51 / $57.56	Professional	TC	$23.26	$27.51	$57.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.26 / $14.26 / $14.26	Facility	26	$14.26	$14.26	$14.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $51.08 / $62.52	Professional		$42.49	$51.08	$62.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $15.23 / $18.39	Professional	26	$14.13	$15.23	$18.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.26 / $34.09 / $45.90	Professional	TC	$27.26	$34.09	$45.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $20.94 / $59.56	Professional		$15.48	$20.94	$59.56
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $16.32 / $17.39 / $18.21	Professional	26	$16.32	$17.39	$18.21
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $43.24 / $45.28 / $47.06	Professional	TC	$43.24	$45.28	$47.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $55.57 / $64.83	Professional		$50.94	$55.57	$64.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.54 / $14.77 / $17.23	Professional	26	$13.54	$14.77	$17.23
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $37.40 / $40.79 / $43.18	Professional	TC	$37.40	$40.79	$43.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $62.52 / $69.98	Professional		$22.81	$62.52	$69.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.73 / $18.72 / $21.32	Professional	26	$7.73	$18.72	$21.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.08 / $45.90 / $48.66	Professional	TC	$15.08	$45.90	$48.66
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $68.97 / $98.99	Professional		$57.39	$68.97	$98.99
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $15.64 / $20.49 / $32.06	Professional	26	$15.64	$20.49	$32.06
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $41.08 / $50.04 / $66.93	Professional	TC	$41.08	$50.04	$66.93