Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.68 / $8.71 / $10.25	Facility	26	$7.68	$8.71	$10.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $32.26 / $82.60	Professional		$10.61	$32.26	$82.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $8.22 / $21.42	Professional	26	$7.03	$8.22	$21.42
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $9.73 / $9.73 / $9.73	Professional	52	$9.73	$9.73	$9.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.21 / $22.29 / $76.08	Professional	TC	$18.21	$22.29	$76.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $31.95 / $45.66	Professional		$27.52	$31.95	$45.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $8.88 / $11.16	Professional	26	$8.71	$8.88	$11.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.66 / $22.45 / $34.28	Professional	TC	$18.66	$22.45	$34.28
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $34.31 / $44.39	Professional		$9.64	$34.31	$44.39
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.32 / $10.81 / $11.08	Professional	26	$10.32	$10.81	$11.08
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $30.21 / $31.81 / $33.31	Professional	TC	$30.21	$31.81	$33.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $36.53 / $42.62	Professional		$33.47	$36.53	$42.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.35 / $9.11 / $10.63	Professional	26	$8.35	$9.11	$10.63
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $27.42 / $29.02	Professional	TC	$25.14	$27.42	$29.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $41.06 / $47.19	Professional		$15.39	$41.06	$47.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.69 / $10.25 / $12.78	Professional	26	$4.69	$10.25	$12.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.70 / $30.85 / $34.40	Professional	TC	$10.70	$30.85	$34.40
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $45.82 / $70.27	Professional		$30.15	$45.82	$70.27
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $11.73 / $19.46	Professional	26	$7.58	$11.73	$19.46
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $21.35 / $34.56 / $50.81	Professional	TC	$21.35	$34.56	$50.81