Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.45 / $31.11 / $36.60	Facility	26	$27.45	$31.11	$36.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $114.50 / $155.77	Professional		$95.79	$114.50	$155.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.26 / $84.97 / $113.87	Professional	TC	$69.26	$84.97	$113.87
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	26	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $108.29 / $160.71	Professional		$82.37	$108.29	$160.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $50.07 / $77.18 / $116.41	Professional	TC	$50.07	$77.18	$116.41
HMSA Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $114.20 / $139.82	Professional		$33.19	$114.20	$139.82
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $89.56 / $96.24 / $100.77	Professional	TC	$89.56	$96.24	$100.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $113.24 / $132.12	Professional		$103.81	$113.24	$132.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.82 / $32.53 / $37.95	Professional	26	$29.82	$32.53	$37.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $73.98 / $80.70 / $85.42	Professional	TC	$73.98	$80.70	$85.42
United Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $127.40 / $164.36	Professional		$53.59	$127.40	$164.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.65 / $90.80 / $115.55	Professional	TC	$35.65	$90.80	$115.55
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $142.81 / $236.16	Professional		$89.71	$142.81	$236.16
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $62.40 / $103.34 / $159.91	Professional	TC	$62.40	$103.34	$159.91