Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $74.13	Professional		$41.69	$52.48	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $7.94 / $11.22	Professional	26	$7.08	$7.94	$11.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $60.26	Professional	TC	$34.67	$42.66	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $64.57	Professional		$38.02	$47.86	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.94 / $10.00	Professional	26	$5.75	$7.94	$10.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.36 / $40.74 / $54.95	Professional	TC	$32.36	$40.74	$54.95
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $69.18 / $81.28	Professional		$11.75	$69.18	$81.28
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.48 / $12.02	Professional	26	$11.22	$11.48	$12.02
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $66.07 / $69.18	Professional	TC	$57.54	$66.07	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $87.10	Professional		$67.61	$74.13	$87.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.72 / $12.59	Professional	26	$9.77	$10.72	$12.59
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $63.10 / $74.13	Professional	TC	$57.54	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $79.43	Professional		$25.70	$60.26	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.33 / $13.80	Professional	26	$6.61	$9.33	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.51 / $51.29 / $64.57	Professional	TC	$29.51	$51.29	$64.57
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $75.86	Professional		$42.66	$52.48	$75.86
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $9.77 / $11.48	Professional	26	$6.61	$9.77	$11.48
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $44.67 / $64.57	Professional	TC	$33.11	$44.67	$64.57