Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.43 / $9.56 / $11.25	Facility	26	$8.43	$9.56	$11.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $36.43 / $72.44	Professional		$27.73	$36.43	$72.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.78 / $27.35	Professional	26	$8.25	$9.78	$27.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.26 / $27.26 / $59.46	Professional	TC	$22.26	$27.26	$59.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.30 / $9.30 / $9.30	Facility	26	$9.30	$9.30	$9.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $37.22 / $58.66	Professional		$29.10	$37.22	$58.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.56 / $10.33 / $12.50	Professional	26	$9.56	$10.33	$12.50
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.43 / $26.89 / $47.41	Professional	TC	$19.43	$26.89	$47.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $35.89 / $67.52	Professional		$10.17	$35.89	$67.52
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.14 / $11.66 / $11.96	Professional	26	$11.14	$11.66	$11.96
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $46.13 / $53.06 / $55.56	Professional	TC	$46.13	$53.06	$55.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $52.14 / $60.83	Professional		$47.80	$52.14	$60.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.16 / $10.00 / $11.66	Professional	26	$9.16	$10.00	$11.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.63 / $42.14 / $44.60	Professional	TC	$38.63	$42.14	$44.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $52.24 / $65.76	Professional		$21.11	$52.24	$65.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.01 / $87.90	Professional	26	$8.91	$14.01	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.25 / $51.75 / $219.61	Professional	TC	$30.25	$51.75	$219.61
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $56.99 / $93.04	Professional		$36.04	$56.99	$93.04
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $12.83 / $21.37	Professional	26	$9.44	$12.83	$21.37
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $26.47 / $44.29 / $71.67	Professional	TC	$26.47	$44.29	$71.67