Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $33.11 / $60.26	Facility		$29.51	$33.11	$60.26
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.13 / $9.12 / $10.72	Facility	26	$8.13	$9.12	$10.72
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $23.99 / $28.84 / $194.98	Facility	TC	$23.99	$28.84	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $141.25	Professional		$19.05	$36.31	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $12.02 / $43.65	Professional	26	$6.03	$12.02	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $46.77	Professional	TC	$15.14	$21.88	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $57.54	Professional		$24.55	$33.88	$57.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.33 / $16.98	Professional	26	$6.46	$9.33	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $23.44 / $40.74	Professional	TC	$17.78	$23.44	$40.74
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $42.66	Professional		$26.92	$38.90	$42.66
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.72 / $11.22	Professional	26	$10.47	$10.72	$11.22
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $30.20 / $31.62	Professional	TC	$30.20	$30.20	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $45.71	Professional		$35.48	$38.90	$45.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $9.77 / $11.48	Professional	26	$9.12	$9.77	$11.48
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $28.84 / $33.88	Professional	TC	$26.30	$28.84	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $57.54	Professional		$33.88	$39.81	$57.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.72 / $16.22	Professional	26	$9.33	$10.72	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $27.54 / $40.74	Professional	TC	$25.12	$27.54	$40.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $61.66	Professional		$31.62	$46.77	$61.66
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $11.75 / $16.98	Professional	26	$8.32	$11.75	$16.98
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $35.48 / $44.67	Professional	TC	$23.44	$35.48	$44.67