Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.13 / $72.68 / $85.51	Facility	26	$64.13	$72.68	$85.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $494.18 / $1,908.74	Professional		$153.00	$494.18	$1,908.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.36 / $140.00 / $154.00	Professional	26	$83.36	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $348.53 / $455.72	Professional	TC	$335.00	$348.53	$455.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $73.64 / $73.64 / $73.64	Facility	26	$73.64	$73.64	$73.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.73 / $502.73 / $661.00	Professional		$402.73	$502.73	$661.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.68 / $74.84 / $93.31	Professional	26	$61.68	$74.84	$93.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $343.95 / $441.04 / $575.80	Professional	TC	$343.95	$441.04	$575.80
HMSA Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $646.37 / $806.44	Professional		$76.02	$646.37	$806.44
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $83.33 / $87.26 / $89.43	Professional	26	$83.33	$87.26	$89.43
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $563.04 / $589.57 / $589.57	Professional	TC	$563.04	$589.57	$589.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.44 / $398.66 / $465.11	Professional		$365.44	$398.66	$465.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.67 / $76.01 / $88.68	Professional	26	$69.67	$76.01	$88.68
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $295.77 / $322.66 / $341.48	Professional	TC	$295.77	$322.66	$341.48
United Facility/Professional Professional Modifier Low / Median / High Price $191.82 / $448.50 / $602.72	Professional		$191.82	$448.50	$602.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.14 / $85.51 / $107.19	Professional	26	$39.14	$85.51	$107.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $152.68 / $362.99 / $578.16	Professional	TC	$152.68	$362.99	$578.16
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $581.70 / $897.24	Professional		$411.74	$581.70	$897.24
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $63.74 / $95.76 / $163.38	Professional	26	$63.74	$95.76	$163.38
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $331.29 / $507.79 / $734.12	Professional	TC	$331.29	$507.79	$734.12