Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $40.40 / $47.55	Facility		$35.65	$40.40	$47.55
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.38 / $9.50 / $11.18	Facility	26	$8.38	$9.50	$11.18
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $27.28 / $32.72 / $36.36	Facility	TC	$27.28	$32.72	$36.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $36.10 / $58.43	Professional		$26.46	$36.10	$58.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.33 / $8.38 / $12.84	Professional	26	$7.33	$8.38	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.14 / $23.87 / $45.59	Professional	TC	$19.14	$23.87	$45.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Facility		$36.53	$36.53	$36.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.61 / $9.61 / $9.61	Facility	26	$9.61	$9.61	$9.61
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $27.22 / $27.22 / $27.22	Facility	TC	$27.22	$27.22	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $35.61 / $47.55	Professional		$31.50	$35.61	$47.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.50 / $9.80 / $12.17	Professional	26	$9.50	$9.80	$12.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.91 / $25.22 / $36.36	Professional	TC	$21.91	$25.22	$36.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $13.27 / $45.30	Professional		$9.81	$13.27	$45.30
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.75 / $11.26 / $11.54	Professional	26	$10.75	$11.26	$11.54
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.54 / $36.18 / $36.18	Professional	TC	$34.54	$36.18	$36.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $42.26 / $49.31	Professional		$38.74	$42.26	$49.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $9.94 / $11.59	Professional	26	$9.11	$9.94	$11.59
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $29.63 / $32.33 / $34.21	Professional	TC	$29.63	$32.33	$34.21
United Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $47.55 / $52.69	Professional		$17.13	$47.55	$52.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.09 / $11.18 / $13.94	Professional	26	$5.09	$11.18	$13.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.03 / $36.36 / $38.75	Professional	TC	$12.03	$36.36	$38.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $51.74 / $72.98	Professional		$31.67	$51.74	$72.98
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $12.48 / $18.46	Professional	26	$8.27	$12.48	$18.46
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $24.07 / $35.57 / $48.14	Professional	TC	$24.07	$35.57	$48.14