Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $9.93 / $11.68	Facility	26	$8.76	$9.93	$11.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $32.60 / $50.40	Professional		$27.41	$32.60	$50.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.95 / $8.77 / $13.47	Professional	26	$7.95	$8.77	$13.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.46 / $23.82 / $28.57	Professional	TC	$19.46	$23.82	$28.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.96 / $9.96 / $9.96	Facility	26	$9.96	$9.96	$9.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $32.57 / $38.76	Professional		$29.33	$32.57	$38.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.67 / $10.33 / $12.98	Professional	26	$9.67	$10.33	$12.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $21.50 / $25.89	Professional	TC	$19.39	$21.50	$25.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $34.18 / $41.38	Professional		$10.39	$34.18	$41.38
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.39 / $11.93 / $12.22	Professional	26	$11.39	$11.93	$12.22
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $26.40 / $27.85 / $29.16	Professional	TC	$26.40	$27.85	$29.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $30.67 / $35.78	Professional		$28.12	$30.67	$35.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $10.38 / $12.11	Professional	26	$9.52	$10.38	$12.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $18.60 / $20.29 / $21.48	Professional	TC	$18.60	$20.29	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $34.51 / $46.51	Professional		$15.22	$34.51	$46.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.29 / $11.68 / $14.57	Professional	26	$5.29	$11.68	$14.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $9.93 / $22.83 / $31.94	Professional	TC	$9.93	$22.83	$31.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $42.66 / $68.42	Professional		$28.55	$42.66	$68.42
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $12.84 / $19.30	Professional	26	$8.25	$12.84	$19.30
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $30.21 / $45.55	Professional	TC	$19.32	$30.21	$45.55