Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $66.07	Facility		$27.54	$36.31	$66.07
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $8.71 / $10.23	Facility	26	$7.76	$8.71	$10.23
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.55 / $28.84 / $302.00	Facility	TC	$24.55	$28.84	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.88 / $158.49	Professional		$12.02	$33.88	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.72 / $45.71	Professional	26	$6.03	$10.72	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $22.91 / $60.26	Professional	TC	$14.13	$22.91	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $54.95	Professional		$23.99	$34.67	$54.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.55 / $17.78	Professional	26	$6.46	$9.55	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $23.44 / $37.15	Professional	TC	$17.38	$23.44	$37.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $42.66	Professional		$28.84	$42.66	$42.66
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $10.23 / $10.72	Professional	26	$10.00	$10.23	$10.72
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $30.90 / $32.36	Professional	TC	$30.90	$30.90	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $44.67	Professional		$35.48	$38.02	$44.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.33 / $10.96	Professional	26	$8.51	$9.33	$10.96
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 / $38.02 / $58.88	Professional		$33.88	$38.02	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.23 / $15.85	Professional	26	$8.91	$10.23	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $26.30 / $40.74	Professional	TC	$25.12	$26.30	$40.74
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $58.88	Professional		$29.51	$45.71	$58.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.48 / $17.78	Professional	26	$7.59	$11.48	$17.78
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $43.65	Professional	TC	$21.88	$35.48	$43.65