Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.71 / $26.87 / $31.62	Facility	26	$23.71	$26.87	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $140.91 / $446.00	Professional		$41.75	$140.91	$446.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $42.05 / $137.00	Professional	26	$21.37	$42.05	$137.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.39 / $24.98 / $38.65	Professional	TC	$20.39	$24.98	$38.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.99 / $26.99 / $26.99	Facility	26	$26.99	$26.99	$26.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $62.46 / $109.88	Professional		$35.24	$62.46	$109.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $29.74 / $54.41	Professional	26	$19.12	$29.74	$54.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.13 / $30.85 / $67.94	Professional	TC	$16.13	$30.85	$67.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $119.18 / $125.99	Professional		$31.15	$119.18	$125.99
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $34.93 / $35.81	Professional	26	$33.36	$34.93	$35.81
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $85.82 / $89.86 / $90.18	Professional	TC	$85.82	$89.86	$90.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $55.52 / $64.78	Professional		$50.90	$55.52	$64.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.76 / $28.10 / $32.79	Professional	26	$25.76	$28.10	$32.79
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $25.14 / $27.42 / $31.99	Professional	TC	$25.14	$27.42	$31.99
United Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $62.46 / $77.20	Professional		$47.64	$62.46	$77.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.71 / $31.62 / $39.69	Professional	26	$23.71	$31.62	$39.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $30.85 / $37.52	Professional	TC	$22.02	$30.85	$37.52
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $73.38 / $133.24	Professional		$51.29	$73.38	$133.24
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $27.18 / $36.92 / $61.50	Professional	26	$27.18	$36.92	$61.50
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $24.11 / $36.47 / $87.06	Professional	TC	$24.11	$36.47	$87.06