Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.50 / $41.37 / $48.67	Facility	26	$36.50	$41.37	$48.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $148.97 / $557.11	Professional		$82.68	$148.97	$557.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.34 / $48.67 / $193.59	Professional	26	$33.34	$48.67	$193.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.30 / $58.29 / $93.08	Professional	TC	$48.30	$58.29	$93.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.65 / $41.65 / $41.65	Facility	26	$41.65	$41.65	$41.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $114.03 / $211.61	Professional		$67.02	$114.03	$211.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.45 / $45.84 / $84.43	Professional	26	$29.45	$45.84	$84.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.57 / $69.80 / $127.18	Professional	TC	$37.57	$69.80	$127.18
HMSA Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $118.19 / $137.52	Professional		$46.01	$118.19	$137.52
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $48.82 / $51.12 / $52.40	Professional	26	$48.82	$51.12	$52.40
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $82.51 / $86.40 / $86.40	Professional	TC	$82.51	$86.40	$86.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $109.26 / $127.47	Professional		$100.16	$109.26	$127.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.65 / $43.26 / $50.47	Professional	26	$39.65	$43.26	$50.47
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $60.50 / $66.00 / $77.00	Professional	TC	$60.50	$66.00	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $122.92 / $144.91	Professional		$88.42	$122.92	$144.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.50 / $48.67 / $60.95	Professional	26	$36.50	$48.67	$60.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $52.92 / $74.25 / $83.96	Professional	TC	$52.92	$74.25	$83.96
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $137.07 / $230.58	Professional		$96.66	$137.07	$230.58
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $37.22 / $54.29 / $94.39	Professional	26	$37.22	$54.29	$94.39
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $59.45 / $81.83 / $136.21	Professional	TC	$59.45	$81.83	$136.21