Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $151.36	Professional		$34.67	$56.23	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $7.94 / $24.55	Professional	26	$6.31	$7.94	$24.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $25.70 / $40.74	Professional	TC	$18.62	$25.70	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.85 / $45.71	Professional		$14.79	$15.85	$45.71
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.55 / $3.63 / $8.32	Professional	26	$3.55	$3.63	$8.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $11.75 / $37.15	Professional	TC	$11.48	$11.75	$37.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $91.20	Professional		$45.71	$77.62	$91.20
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.18 / $14.45	Professional	26	$9.55	$13.18	$14.45
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $43.65 / $77.62	Professional	TC	$41.69	$43.65	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $51.29	Professional		$39.81	$43.65	$51.29
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.13 / $9.55	Professional	26	$7.41	$8.13	$9.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $35.48 / $41.69	Professional	TC	$32.36	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $52.48	Professional		$16.60	$25.12	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $4.07 / $4.37 / $11.22	Professional	26	$4.07	$4.37	$11.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $20.42 / $41.69	Professional	TC	$12.30	$20.42	$41.69
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $91.20	Professional		$36.31	$56.23	$91.20
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.00 / $13.49	Professional	26	$6.31	$10.00	$13.49
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $45.71 / $79.43	Professional	TC	$28.18	$45.71	$79.43