Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $21.13 / $34.08	Professional		$17.53	$21.13	$34.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.40 / $13.90 / $33.15	Professional	26	$2.40	$13.90	$33.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.87 / $6.87 / $15.33	Professional	TC	$6.87	$6.87	$15.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $26.41	Professional		$26.41	$26.41	$26.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $15.04 / $15.04	Professional	26	$15.04	$15.04	$15.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.38 / $11.38 / $11.38	Professional	TC	$11.38	$11.38	$11.38
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $28.43 / $38.76	Professional		$8.73	$28.43	$38.76
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $17.27 / $18.07 / $25.45	Professional	26	$17.27	$18.07	$25.45
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $9.81 / $11.98 / $13.31	Professional	TC	$9.81	$11.98	$13.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $25.36 / $29.58	Professional		$23.24	$25.36	$29.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.23 / $14.44 / $16.84	Professional	26	$13.23	$14.44	$16.84
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $10.01 / $10.92 / $12.74	Professional	TC	$10.01	$10.92	$12.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $35.45	Professional		$26.41	$26.41	$35.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.04 / $15.04 / $20.23	Professional	26	$15.04	$15.04	$20.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.38 / $11.38 / $15.21	Professional	TC	$11.38	$11.38	$15.21
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $28.49 / $42.63	Professional		$19.25	$28.49	$42.63
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.62 / $17.22 / $24.19	Professional	26	$11.62	$17.22	$24.19
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $4.75 / $11.17 / $18.43	Professional	TC	$4.75	$11.17	$18.43