Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $263.03	Facility		$33.11	$38.90	$263.03
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 $26.92 / $32.36 / $37.15	Facility	TC	$26.92	$32.36	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $38.02 / $169.82	Professional		$10.72	$38.02	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.72 / $54.95	Professional	26	$6.03	$10.72	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $25.12 / $54.95	Professional	TC	$15.14	$25.12	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $60.26	Professional		$23.99	$34.67	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.92 / $10.00 / $17.78	Professional	26	$6.92	$10.00	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $22.39 / $42.66	Professional	TC	$16.60	$22.39	$42.66
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $46.77	Professional		$30.20	$44.67	$46.77
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $10.96 / $11.48	Professional	26	$10.72	$10.96	$11.48
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $33.88 / $35.48	Professional	TC	$33.88	$33.88	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $48.98	Professional		$38.02	$41.69	$48.98
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 $29.51 / $32.36 / $37.15	Professional	TC	$29.51	$32.36	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $61.66	Professional		$36.31	$41.69	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $15.85	Professional	26	$8.91	$10.96	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $29.51 / $45.71	Professional	TC	$25.70	$29.51	$45.71
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $64.57	Professional		$33.11	$50.12	$64.57
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.02 / $17.78	Professional	26	$9.33	$12.02	$17.78
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.02 / $46.77	Professional	TC	$23.99	$38.02	$46.77