Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $52.12 / $65.00	Professional		$49.72	$52.12	$65.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.29 / $19.51 / $22.34	Professional	26	$18.29	$19.51	$22.34
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.68 / $25.67 / $29.79	Professional	TC	$23.68	$25.67	$29.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $42.82 / $62.15	Professional		$31.97	$42.82	$62.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.41 / $19.35 / $25.69	Professional	26	$13.41	$19.35	$25.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $23.37 / $36.46	Professional	TC	$18.55	$23.37	$36.46
HMSA Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $81.15 / $89.51	Professional		$26.59	$81.15	$89.51
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $29.15 / $30.52 / $31.28	Professional	26	$29.15	$30.52	$31.28
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $48.35 / $50.63 / $58.22	Professional	TC	$48.35	$50.63	$58.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $54.69 / $69.61	Professional		$54.69	$54.69	$69.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.61 / $22.61 / $28.77	Professional	26	$22.61	$22.61	$28.77
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.09 / $32.09 / $40.84	Professional	TC	$32.09	$32.09	$40.84
United Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $58.68 / $79.45	Professional		$36.64	$58.68	$79.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.68 / $25.39 / $34.52	Professional	26	$19.68	$25.39	$34.52
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.46 / $36.46 / $44.94	Professional	TC	$23.46	$36.46	$44.94
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $58.86 / $67.26	Professional		$36.14	$58.86	$67.26
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $15.21 / $24.77 / $26.95	Professional	26	$15.21	$24.77	$26.95
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $20.93 / $34.09 / $41.81	Professional	TC	$20.93	$34.09	$41.81