Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.36 / $17.41 / $20.48	Facility	26	$15.36	$17.41	$20.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $51.94 / $88.57	Professional		$43.64	$51.94	$88.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.58 / $20.48 / $23.44	Professional	26	$13.58	$20.48	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.03 / $36.81 / $65.13	Professional	TC	$30.03	$36.81	$65.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $55.97 / $77.34	Professional		$46.95	$55.97	$77.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.29 / $17.80 / $21.98	Professional	26	$17.29	$17.80	$21.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.48 / $38.15 / $55.37	Professional	TC	$29.48	$38.15	$55.37
HMSA Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $54.53 / $78.25	Professional		$18.09	$54.53	$78.25
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $19.82 / $20.75 / $21.28	Professional	26	$19.82	$20.75	$21.28
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $50.00 / $54.41 / $56.97	Professional	TC	$50.00	$54.41	$56.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $64.37 / $75.09	Professional		$59.00	$64.37	$75.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.69 / $18.20 / $21.24	Professional	26	$16.69	$18.20	$21.24
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.31 / $46.15 / $48.84	Professional	TC	$42.31	$46.15	$48.84
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $72.41 / $81.30	Professional		$26.54	$72.41	$81.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.17 / $20.48 / $25.20	Professional	26	$9.17	$20.48	$25.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.37 / $51.92 / $56.10	Professional	TC	$17.37	$51.92	$56.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $79.75 / $114.40	Professional		$51.43	$79.75	$114.40
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $14.92 / $23.28 / $38.92	Professional	26	$14.92	$23.28	$38.92
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $34.83 / $56.93 / $75.45	Professional	TC	$34.83	$56.93	$75.45