Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $38.02 / $100.00	Professional		$14.13	$38.02	$100.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.89 / $5.37 / $24.55	Professional	26	$3.89	$5.37	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.13 / $12.88 / $18.62	Professional	TC	$8.13	$12.88	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $22.39	Professional		$7.76	$7.76	$22.39
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.14 / $2.29 / $5.37	Professional	26	$2.14	$2.29	$5.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $5.50 / $16.98	Professional	TC	$5.13	$5.50	$16.98
HMSA Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $25.70 / $42.66	Professional		$7.76	$25.70	$42.66
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $6.17 / $6.46 / $8.71	Professional	26	$6.17	$6.46	$8.71
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $30.20 / $33.88	Professional	TC	$18.20	$30.20	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $25.12	Professional		$19.50	$21.38	$25.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $4.79 / $5.25 / $6.17	Professional	26	$4.79	$5.25	$6.17
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $16.22 / $19.05	Professional	TC	$14.79	$16.22	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $26.30	Professional		$8.32	$11.48	$26.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.57 / $2.57 / $7.24	Professional	26	$2.57	$2.57	$7.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $8.91 / $19.05	Professional	TC	$5.75	$8.91	$19.05
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $41.69	Professional		$16.22	$26.30	$41.69
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $4.27 / $6.31 / $9.77	Professional	26	$4.27	$6.31	$9.77
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $19.95 / $34.67	Professional	TC	$10.96	$19.95	$34.67