Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.36 / $10.61 / $12.49	Facility	26	$9.36	$10.61	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.46 / $56.73	Professional		$25.76	$30.46	$56.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.48 / $9.31 / $14.28	Professional	26	$8.48	$9.31	$14.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.28 / $21.15 / $42.43	Professional	TC	$17.28	$21.15	$42.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.80 / $10.80 / $10.80	Facility	26	$10.80	$10.80	$10.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $40.79 / $49.65	Professional		$31.72	$40.79	$49.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.61 / $11.82 / $13.88	Professional	26	$10.61	$11.82	$13.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.82 / $29.10 / $36.71	Professional	TC	$19.82	$29.10	$36.71
HMSA Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $49.84 / $55.33	Professional		$12.74	$49.84	$55.33
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $13.97 / $14.63 / $14.99	Professional	26	$13.97	$14.63	$14.99
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $38.50 / $40.31 / $40.34	Professional	TC	$38.50	$40.31	$40.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $41.21 / $48.08	Professional		$37.77	$41.21	$48.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.18 / $11.10 / $12.95	Professional	26	$10.18	$11.10	$12.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.59 / $30.10 / $31.85	Professional	TC	$27.59	$30.10	$31.85
United Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $46.36 / $54.32	Professional		$17.75	$46.36	$54.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.35 / $16.32 / $87.90	Professional	26	$10.35	$16.32	$87.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.84 / $33.86 / $38.11	Professional	TC	$11.84	$33.86	$38.11
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $52.50 / $72.38	Professional		$34.02	$52.50	$72.38
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.45 / $15.66 / $26.34	Professional	26	$11.45	$15.66	$26.34
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $22.02 / $36.86 / $49.03	Professional	TC	$22.02	$36.86	$49.03