Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $13.29 / $15.63	Facility		$11.72	$13.29	$15.63
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.78 / $8.81 / $10.37	Facility	26	$7.78	$8.81	$10.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.62 / $17.18	Professional		$10.80	$13.62	$17.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.70 / $12.01 / $46.30	Professional	26	$7.70	$12.01	$46.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.15 / $4.44 / $6.50	Professional	TC	$3.15	$4.44	$6.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.76 / $8.76 / $8.76	Facility	26	$8.76	$8.76	$8.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $15.44 / $34.82	Professional		$8.83	$15.44	$34.82
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.14 / $10.37 / $21.65	Professional	26	$6.14	$10.37	$21.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.57 / $5.05 / $13.17	Professional	TC	$2.57	$5.05	$13.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.88 / $19.48	Professional		$5.20	$6.88	$19.48
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.95 / $12.51 / $12.83	Professional	26	$11.95	$12.51	$12.83
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $5.52 / $5.78 / $6.35	Professional	TC	$5.52	$5.78	$6.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.90 / $16.21	Professional		$12.74	$13.90	$16.21
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $9.22 / $10.75	Professional	26	$8.44	$9.22	$10.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.29 / $4.68 / $5.46	Professional	TC	$4.29	$4.68	$5.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $15.63 / $19.47	Professional		$11.72	$15.63	$19.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.37 / $12.93	Professional	26	$8.30	$10.37	$12.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.95 / $5.27 / $7.75	Professional	TC	$3.95	$5.27	$7.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.70 / $33.76	Professional		$13.47	$17.70	$33.76
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.36 / $12.50 / $21.28	Professional	26	$9.36	$12.50	$21.28
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $3.53 / $5.81 / $12.82	Professional	TC	$3.53	$5.81	$12.82