Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.33 / $10.72 / $12.59	Facility	26	$9.33	$10.72	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $50.12	Professional		$20.89	$30.90	$50.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $9.33 / $33.11	Professional	26	$7.94	$9.33	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.88 / $19.95 / $34.67	Professional	TC	$12.88	$19.95	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $60.26	Professional		$23.99	$40.74	$60.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $12.59 / $22.91	Professional	26	$8.91	$12.59	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $28.18 / $37.15	Professional	TC	$15.49	$28.18	$37.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $54.95	Professional		$35.48	$53.70	$54.95
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $14.45 / $15.14	Professional	26	$14.13	$14.45	$15.14
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $38.90 / $40.74	Professional	TC	$38.90	$38.90	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $48.98	Professional		$38.02	$41.69	$48.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $11.48 / $13.49	Professional	26	$10.47	$11.48	$13.49
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $30.20 / $35.48	Professional	TC	$27.54	$30.20	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $64.57	Professional		$37.15	$44.67	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $19.05	Professional	26	$10.96	$13.18	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.90 / $44.67	Professional	TC	$25.12	$30.90	$44.67
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $72.44	Professional		$33.88	$51.29	$72.44
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $14.45 / $26.30	Professional	26	$11.48	$14.45	$26.30
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $37.15 / $50.12	Professional	TC	$21.88	$37.15	$50.12