Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.04 / $17.04 / $20.05	Facility	26	$15.04	$17.04	$20.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $20.85 / $75.48	Professional		$17.14	$20.85	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.03 / $14.52 / $22.96	Professional	26	$7.03	$14.52	$22.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $12.35 / $52.52	Professional	TC	$10.11	$12.35	$52.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $28.01 / $61.94	Professional		$19.16	$28.01	$61.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.80 / $9.74 / $20.05	Professional	26	$8.80	$9.74	$20.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.96 / $17.77 / $41.89	Professional	TC	$11.96	$17.77	$41.89
HMSA Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $30.80 / $59.81	Professional		$17.87	$30.80	$59.81
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $19.57 / $20.50 / $21.02	Professional	26	$19.57	$20.50	$21.02
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $37.54 / $39.31 / $39.31	Professional	TC	$37.54	$39.31	$39.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $55.06 / $64.23	Professional		$50.47	$55.06	$64.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.34 / $17.82 / $20.79	Professional	26	$16.34	$17.82	$20.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $34.13 / $37.24 / $39.40	Professional	TC	$34.13	$37.24	$39.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $61.94 / $71.81	Professional		$23.69	$61.94	$71.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.18 / $20.05 / $25.01	Professional	26	$9.18	$20.05	$25.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.51 / $41.89 / $46.80	Professional	TC	$14.51	$41.89	$46.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $42.66 / $67.55	Professional		$22.25	$42.66	$67.55
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $14.78 / $23.59	Professional	26	$8.75	$14.78	$23.59
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $13.50 / $26.74 / $45.61	Professional	TC	$13.50	$26.74	$45.61