Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.06 / $9.13 / $10.75	Facility	26	$8.06	$9.13	$10.75
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $24.27 / $27.51 / $32.36	Facility	TC	$24.27	$27.51	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $30.10 / $43.10	Professional		$25.17	$30.10	$43.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.50 / $8.36 / $12.35	Professional	26	$7.50	$8.36	$12.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.67 / $20.90 / $40.54	Professional	TC	$17.67	$20.90	$40.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.19 / $9.19 / $9.19	Facility	26	$9.19	$9.19	$9.19
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $24.18 / $24.18 / $24.18	Facility	TC	$24.18	$24.18	$24.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $36.27 / $43.11	Professional		$30.34	$36.27	$43.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.13 / $9.64 / $11.70	Professional	26	$9.13	$9.64	$11.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.70 / $25.03 / $32.36	Professional	TC	$20.70	$25.03	$32.36
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $36.79 / $44.49	Professional		$9.86	$36.79	$44.49
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $11.09 / $11.61	Professional	26	$10.42	$11.09	$11.61
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $31.63 / $32.88	Professional	TC	$30.21	$31.63	$32.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $38.32 / $44.70	Professional		$35.11	$38.32	$44.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.76 / $9.55 / $11.14	Professional	26	$8.76	$9.55	$11.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $26.37 / $28.76 / $30.44	Professional	TC	$26.37	$28.76	$30.44
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $43.11 / $49.06	Professional		$15.97	$43.11	$49.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.88 / $10.75 / $13.40	Professional	26	$4.88	$10.75	$13.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.08 / $32.36 / $35.65	Professional	TC	$11.08	$32.36	$35.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $49.02 / $76.31	Professional		$39.57	$49.02	$76.31
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $12.63 / $21.76	Professional	26	$9.85	$12.63	$21.76
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $29.72 / $36.40 / $54.56	Professional	TC	$29.72	$36.40	$54.56