Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.06 / $9.13 / $10.75	Facility	26	$8.06	$9.13	$10.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $35.79 / $126.75	Professional		$11.13	$35.79	$126.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $11.13 / $27.35	Professional	26	$7.03	$11.13	$27.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.82 / $23.06 / $46.22	Professional	TC	$18.82	$23.06	$46.22
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $33.33 / $47.61	Professional		$29.45	$33.33	$47.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.86 / $9.53 / $11.70	Professional	26	$8.86	$9.53	$11.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.59 / $23.37 / $36.86	Professional	TC	$20.59	$23.37	$36.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $37.81 / $47.43	Professional		$9.56	$37.81	$47.43
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.48 / $10.97 / $11.25	Professional	26	$10.48	$10.97	$11.25
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 $38.79 / $42.32 / $49.38	Professional		$38.79	$42.32	$49.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $9.55 / $11.14	Professional	26	$8.76	$9.55	$11.14
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 $17.11 / $47.61 / $52.76	Professional		$17.11	$47.61	$52.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.88 / $12.61 / $13.40	Professional	26	$4.88	$12.61	$13.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.23 / $36.86 / $39.36	Professional	TC	$12.23	$36.86	$39.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $48.55 / $62.74	Professional		$31.12	$48.55	$62.74
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $11.82 / $17.73	Professional	26	$7.55	$11.82	$17.73
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $36.15 / $45.60	Professional	TC	$23.17	$36.15	$45.60