Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.35 / $8.33 / $9.80	Facility	26	$7.35	$8.33	$9.80
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $15.99 / $18.12 / $21.32	Facility	TC	$15.99	$18.12	$21.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $21.21 / $37.90	Professional		$7.47	$21.21	$37.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.42 / $7.47 / $11.23	Professional	26	$6.42	$7.47	$11.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.78 / $18.09 / $26.68	Professional	TC	$14.78	$18.09	$26.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.46 / $8.46 / $8.46	Facility	26	$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	TC	$16.03	$16.03	$16.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $27.11 / $34.58	Professional		$19.01	$27.11	$34.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.33 / $8.76 / $10.68	Professional	26	$8.33	$8.76	$10.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.39 / $18.66 / $23.69	Professional	TC	$16.39	$18.66	$23.69
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $33.40 / $35.24	Professional		$8.64	$33.40	$35.24
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $9.46 / $9.91 / $10.16	Professional	26	$9.46	$9.91	$10.16
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $23.95 / $25.08 / $25.08	Professional	TC	$23.95	$25.08	$25.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $27.66 / $32.27	Professional		$25.36	$27.66	$32.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.99 / $8.71 / $10.16	Professional	26	$7.99	$8.71	$10.16
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $18.95 / $20.05	Professional	TC	$17.37	$18.95	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $31.12 / $35.49	Professional		$11.75	$31.12	$35.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.48 / $9.80 / $12.24	Professional	26	$4.48	$9.80	$12.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $7.27 / $21.32 / $23.25	Professional	TC	$7.27	$21.32	$23.25
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $37.72 / $59.00	Professional		$25.61	$37.72	$59.00
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.25 / $10.99 / $19.57	Professional	26	$7.25	$10.99	$19.57
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $18.36 / $26.48 / $39.42	Professional	TC	$18.36	$26.48	$39.42