Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.12 / $10.23 / $12.02	Facility	26	$9.12	$10.23	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $158.49	Professional		$23.99	$34.67	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.00 / $34.67	Professional	26	$7.08	$10.00	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $20.89 / $46.77	Professional	TC	$15.85	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $75.86	Professional		$32.36	$41.69	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $22.39	Professional	26	$9.33	$12.02	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $28.84 / $53.70	Professional	TC	$23.44	$28.84	$53.70
HMSA Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $48.98 / $51.29	Professional		$15.85	$48.98	$51.29
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $13.18 / $13.80	Professional	26	$12.88	$13.18	$13.80
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $35.48 / $37.15	Professional	TC	$33.88	$35.48	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $46.77	Professional		$36.31	$39.81	$46.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.48 / $13.49	Professional	26	$10.47	$11.48	$13.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $28.18 / $33.11	Professional	TC	$26.30	$28.18	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $58.88	Professional		$33.88	$46.77	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $12.88 / $18.62	Professional	26	$10.47	$12.88	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $34.67 / $40.74	Professional	TC	$23.44	$34.67	$40.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $81.28	Professional		$38.90	$51.29	$81.28
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.13 / $22.39	Professional	26	$11.22	$14.13	$22.39
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $37.15 / $57.54	Professional	TC	$27.54	$37.15	$57.54