Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.18 / $15.49	Facility		$11.75	$13.18	$15.49
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $8.71 / $10.47	Facility	26	$7.76	$8.71	$10.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $25.70	Professional		$9.55	$12.88	$25.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $48.98	Professional	26	$7.08	$8.91	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $11.48	Professional	50	$11.48	$11.48	$11.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $10.47	Professional	TC	$3.02	$3.98	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $34.67	Professional		$8.51	$14.45	$34.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $10.47 / $21.88	Professional	26	$5.75	$10.47	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $4.47 / $13.18	Professional	TC	$2.57	$4.47	$13.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.59 / $18.62	Professional		$6.92	$7.59	$18.62
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $12.59 / $12.88	Professional	26	$12.02	$12.59	$12.88
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $5.50 / $5.75 / $6.61	Professional	TC	$5.50	$5.75	$6.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.79 / $17.38	Professional		$13.49	$14.79	$17.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $9.55 / $10.96	Professional	26	$8.71	$9.55	$10.96
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.79 / $5.25 / $6.17	Professional	TC	$4.79	$5.25	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.49 / $23.44	Professional		$11.75	$15.49	$23.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.47 / $15.85	Professional	26	$7.76	$10.47	$15.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $4.47 / $7.94	Professional	TC	$3.98	$4.47	$7.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $32.36	Professional		$14.45	$17.78	$32.36
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.75 / $20.89	Professional	26	$9.55	$11.75	$20.89
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.89 / $10.72	Professional	TC	$3.72	$5.89	$10.72