Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $54.47 / $60.27	Professional		$54.47	$54.47	$60.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.70 / $7.66 / $46.75	Professional	26	$6.70	$7.66	$46.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.78 / $48.78 / $50.00	Professional	TC	$48.78	$48.78	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $45.20	Professional		$45.20	$45.20	$45.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $8.27 / $8.27	Professional	26	$8.27	$8.27	$8.27
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.93 / $36.93 / $36.93	Professional	TC	$36.93	$36.93	$36.93
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $53.70 / $91.93	Professional		$8.52	$53.70	$91.93
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $9.58 / $13.06 / $14.51	Professional	26	$9.58	$13.06	$14.51
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $41.70 / $43.66 / $77.41	Professional	TC	$41.70	$43.66	$77.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $43.39 / $50.62	Professional		$39.78	$43.39	$50.62
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.28 / $7.94 / $9.27	Professional	26	$7.28	$7.94	$9.27
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.49 / $35.45 / $41.36	Professional	TC	$32.49	$35.45	$41.36
United Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $52.37	Professional		$45.20	$45.20	$52.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.86 / $8.27 / $11.15	Professional	26	$3.86	$8.27	$11.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.93 / $36.93 / $41.22	Professional	TC	$36.93	$36.93	$41.22
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $30.51 / $59.36 / $96.71	Professional		$30.51	$59.36	$96.71
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $6.24 / $9.82 / $15.28	Professional	26	$6.24	$9.82	$15.28
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $24.40 / $47.76 / $85.09	Professional	TC	$24.40	$47.76	$85.09