Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.51 / $27.78 / $32.68	Facility	26	$24.51	$27.78	$32.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $78.34 / $191.62	Professional		$28.27	$78.34	$191.62
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.48 / $27.42 / $95.06	Professional	26	$23.48	$27.42	$95.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.23 / $53.40 / $58.75	Professional	TC	$12.23	$53.40	$58.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $75.87 / $83.41	Professional		$49.31	$75.87	$83.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.76 / $29.87 / $32.68	Professional	26	$21.76	$29.87	$32.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.53 / $50.06 / $53.54	Professional	TC	$21.53	$50.06	$53.54
HMSA Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $97.29 / $106.00	Professional		$32.18	$97.29	$106.00
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $33.31 / $34.88 / $35.76	Professional	26	$33.31	$34.88	$35.76
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $67.92 / $71.12 / $71.12	Professional	TC	$67.92	$71.12	$71.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $51.56 / $60.16	Professional		$44.26	$51.56	$60.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.94 / $29.05 / $33.89	Professional	26	$24.94	$29.05	$33.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $19.32 / $22.51 / $23.45	Professional	TC	$19.32	$22.51	$23.45
United Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $58.01 / $78.81	Professional		$58.01	$58.01	$78.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.94 / $32.68 / $38.21	Professional	26	$20.94	$32.68	$38.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.33 / $40.61 / $70.45	Professional	TC	$25.33	$40.61	$70.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $91.33 / $165.91	Professional		$53.22	$91.33	$165.91
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $29.14 / $37.44 / $58.24	Professional	26	$29.14	$37.44	$58.24
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $23.26 / $61.73 / $112.54	Professional	TC	$23.26	$61.73	$112.54