Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $37.15 / $40.33	Professional		$29.57	$37.15	$40.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.84 / $14.98 / $17.20	Professional	26	$13.84	$14.98	$17.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $17.23 / $19.96	Professional	TC	$15.74	$17.23	$19.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.45 / $44.18	Professional		$22.73	$30.45	$44.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.29 / $14.90 / $19.79	Professional	26	$10.29	$14.90	$19.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.44 / $15.48 / $24.39	Professional	TC	$12.44	$15.48	$24.39
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $63.66 / $67.81	Professional		$24.73	$63.66	$67.81
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $24.15 / $25.29 / $25.92	Professional	26	$24.15	$25.29	$25.92
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $36.65 / $38.38 / $41.91	Professional	TC	$36.65	$38.38	$41.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $49.48	Professional		$38.86	$38.86	$49.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.41 / $17.41 / $23.75	Professional	26	$17.41	$17.41	$23.75
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.46 / $21.46 / $29.27	Professional	TC	$21.46	$21.46	$29.27
United Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $41.61 / $56.06	Professional		$30.61	$41.61	$56.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $19.55 / $25.98	Professional	26	$14.84	$19.55	$25.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.74 / $24.39 / $30.08	Professional	TC	$15.74	$24.39	$30.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $41.79 / $51.21	Professional		$25.66	$41.79	$51.21
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $11.66 / $18.98 / $20.65	Professional	26	$11.66	$18.98	$20.65
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $14.01 / $22.81 / $30.57	Professional	TC	$14.01	$22.81	$30.57