Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $89.13	Professional		$18.20	$31.62	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $12.02 / $33.11	Professional	26	$9.77	$12.02	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.46 / $10.00 / $12.59	Professional	TC	$6.46	$10.00	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $26.30	Professional		$8.91	$10.47	$26.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $6.46 / $15.14	Professional	26	$6.31	$6.46	$15.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $2.40 / $3.98 / $11.48	Professional	TC	$2.40	$3.98	$11.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $38.90	Professional		$15.49	$28.18	$38.90
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $18.20 / $25.70	Professional	26	$17.38	$18.20	$25.70
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $9.77 / $12.02 / $13.18	Professional	TC	$9.77	$12.02	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $29.51	Professional		$22.91	$25.12	$29.51
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.13 / $16.22	Professional	26	$12.88	$14.13	$16.22
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $11.22 / $12.88	Professional	TC	$10.23	$11.22	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.02 / $35.48	Professional		$10.47	$12.02	$35.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $7.76 / $20.42	Professional	26	$7.41	$7.76	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.88 / $4.57 / $15.14	Professional	TC	$2.88	$4.57	$15.14
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $33.88	Professional		$19.95	$28.84	$33.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $17.38 / $22.91	Professional	26	$13.49	$17.38	$22.91
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $5.37 / $11.48 / $14.45	Professional	TC	$5.37	$11.48	$14.45