Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $70.94 / $84.10	Professional		$60.83	$70.94	$84.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.31 / $34.82 / $40.01	Professional	26	$32.31	$34.82	$40.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.00 / $26.01 / $30.92	Professional	TC	$24.00	$26.01	$30.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $58.61 / $84.10	Professional		$42.83	$58.61	$84.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.03 / $34.54 / $46.25	Professional	26	$24.03	$34.54	$46.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.80 / $23.95 / $37.86	Professional	TC	$18.80	$23.95	$37.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $78.33 / $89.66	Professional		$32.72	$78.33	$89.66
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $47.75 / $48.94	Professional	26	$45.60	$47.75	$48.94
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $34.27 / $38.89 / $40.72	Professional	TC	$34.27	$38.89	$40.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $74.01 / $94.19	Professional		$74.01	$74.01	$94.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $40.70 / $40.70 / $55.50	Professional	26	$40.70	$40.70	$55.50
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.32 / $33.32 / $45.44	Professional	TC	$33.32	$33.32	$45.44
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $72.66 / $105.17	Professional		$34.18	$72.66	$105.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.19 / $46.25 / $60.84	Professional	26	$33.19	$46.25	$60.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $34.13 / $44.33	Professional	TC	$21.31	$34.13	$44.33
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $60.17 / $86.94	Professional		$49.08	$60.17	$86.94
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $28.39 / $39.39 / $50.29	Professional	26	$28.39	$39.39	$50.29
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $18.89 / $25.12 / $36.64	Professional	TC	$18.89	$25.12	$36.64