Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.74 / $37.11 / $43.66	Facility	26	$32.74	$37.11	$43.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $68.27 / $160.88	Professional		$29.01	$68.27	$160.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $45.22 / $98.84	Professional	26	$18.18	$45.22	$98.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $9.18 / $11.21 / $59.46	Professional	TC	$9.18	$11.21	$59.46
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.43 / $37.43 / $37.43	Facility	26	$37.43	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $72.19 / $101.18	Professional		$35.13	$72.19	$101.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.32 / $33.72 / $52.48	Professional	26	$23.32	$33.72	$52.48
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.55 / $28.80 / $52.68	Professional	TC	$10.55	$28.80	$52.68
HMSA Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $47.58 / $92.54	Professional		$21.94	$47.58	$92.54
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $40.79 / $42.72 / $43.80	Professional	26	$40.79	$42.72	$43.80
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $47.58 / $49.82 / $49.82	Professional	TC	$47.58	$49.82	$49.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $80.94 / $94.43	Professional		$74.20	$80.94	$94.43
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.57 / $38.81 / $45.28	Professional	26	$35.57	$38.81	$45.28
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.63 / $42.14 / $49.17	Professional	TC	$38.63	$42.14	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $91.06 / $95.24	Professional		$43.85	$91.06	$95.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.90 / $38.54 / $43.66	Professional	26	$24.90	$38.54	$43.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.64 / $47.41 / $56.70	Professional	TC	$16.64	$47.41	$56.70
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $61.78 / $113.48	Professional		$34.61	$61.78	$113.48
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $21.77 / $35.75 / $51.50	Professional	26	$21.77	$35.75	$51.50
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $12.64 / $24.08 / $62.79	Professional	TC	$12.64	$24.08	$62.79