Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $45.71	Professional		$24.55	$34.67	$45.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $67.61 / $107.15	Professional	26	$23.99	$67.61	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $7.94 / $13.18	Professional	TC	$5.37	$7.94	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $38.90	Professional		$14.45	$14.79	$38.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.48 / $26.30	Professional	26	$11.22	$11.48	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.31 / $3.39 / $12.02	Professional	TC	$3.31	$3.39	$12.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $43.65 / $61.66	Professional		$9.12	$43.65	$61.66
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $32.36 / $44.67	Professional	26	$30.90	$32.36	$44.67
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $15.85 / $16.60	Professional	TC	$10.23	$15.85	$16.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $43.65	Professional		$33.88	$37.15	$43.65
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $25.12 / $29.51	Professional	26	$23.44	$25.12	$29.51
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $11.75 / $13.80	Professional	TC	$10.96	$11.75	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.78 / $48.98	Professional		$16.98	$17.78	$48.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $13.80 / $36.31	Professional	26	$13.18	$13.80	$36.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $3.89 / $12.30	Professional	TC	$3.72	$3.89	$12.30
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $58.88	Professional		$27.54	$41.69	$58.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $29.51 / $42.66	Professional	26	$20.42	$29.51	$42.66
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $7.24 / $12.30 / $15.85	Professional	TC	$7.24	$12.30	$15.85