Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.44 / $18.64 / $21.92	Facility	26	$16.44	$18.64	$21.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $44.38 / $81.50	Professional		$37.59	$44.38	$81.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.08 / $15.58 / $25.18	Professional	26	$14.08	$15.58	$25.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $28.79 / $56.30	Professional	TC	$23.51	$28.79	$56.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $18.82	Facility	26	$18.82	$18.82	$18.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $55.07 / $66.94	Professional		$42.29	$55.07	$66.94
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.05 / $17.76 / $23.59	Professional	26	$16.05	$17.76	$23.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.00 / $49.17	Professional	TC	$23.99	$39.00	$49.17
HMSA Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $77.56 / $81.83	Professional		$19.52	$77.56	$81.83
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $22.41 / $22.96	Professional	26	$21.40	$22.41	$22.96
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $56.16 / $58.81 / $58.87	Professional	TC	$56.16	$58.81	$58.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $59.40 / $69.30	Professional		$54.45	$59.40	$69.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.86 / $19.48 / $22.74	Professional	26	$17.86	$19.48	$22.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.59 / $39.90 / $42.24	Professional	TC	$36.59	$39.90	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $56.33 / $76.61	Professional		$25.25	$56.33	$76.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.98 / $21.92 / $27.35	Professional	26	$9.98	$21.92	$27.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.27 / $44.90 / $49.26	Professional	TC	$15.27	$44.90	$49.26
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $77.39 / $100.28	Professional		$49.76	$77.39	$100.28
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $18.11 / $24.49 / $39.04	Professional	26	$18.11	$24.49	$39.04
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $31.65 / $50.98 / $69.56	Professional	TC	$31.65	$50.98	$69.56