Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.62 / $72.09 / $84.82	Facility	26	$63.62	$72.09	$84.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.18 / $345.37 / $554.99	Professional		$229.18	$345.37	$554.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.08 / $60.42 / $97.16	Professional	26	$44.08	$60.42	$97.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.10 / $284.95 / $457.83	Professional	TC	$185.10	$284.95	$457.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.31 / $338.31 / $565.37	Professional		$338.31	$338.31	$565.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.79 / $74.79 / $93.53	Professional	26	$74.79	$74.79	$93.53
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $263.52 / $263.52 / $471.84	Professional	TC	$263.52	$263.52	$471.84
HMSA Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $627.16 / $693.76	Professional		$134.28	$627.16	$693.76
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $139.01 / $145.56 / $149.19	Professional	26	$139.01	$145.56	$149.19
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $484.37 / $507.19 / $507.19	Professional	TC	$484.37	$507.19	$507.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.31 / $399.61 / $416.26	Professional		$366.31	$399.61	$416.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.11 / $75.40 / $78.54	Professional	26	$69.11	$75.40	$78.54
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $297.20 / $324.22 / $337.73	Professional	TC	$297.20	$324.22	$337.73
United Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $567.10 / $583.37	Professional		$449.56	$567.10	$583.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $84.82 / $106.01 / $128.11	Professional	26	$84.82	$106.01	$128.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $364.74 / $438.99 / $477.36	Professional	TC	$364.74	$438.99	$477.36
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $412.71 / $489.26 / $926.00	Professional		$412.71	$489.26	$926.00
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $94.55 / $162.04	Professional	26	$71.81	$94.55	$162.04
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $315.68 / $397.16 / $763.99	Professional	TC	$315.68	$397.16	$763.99