Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $28.82 / $36.22	Professional		$23.81	$28.82	$36.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.50 / $4.30 / $10.64	Professional	26	$3.50	$4.30	$10.64
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.40 / $8.40 / $8.40	Professional	52	$8.40	$8.40	$8.40
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $27.61 / $37.39	Professional	TC	$25.10	$27.61	$37.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $54.00	Facility		$26.10	$26.10	$54.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.41 / $3.41 / $3.41	Facility	26	$3.41	$3.41	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $39.39 / $57.69	Professional		$25.52	$39.39	$57.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.38 / $6.63 / $13.42	Professional	26	$3.38	$6.63	$13.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $34.31 / $44.27	Professional	TC	$22.55	$34.31	$44.27
HMSA Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $25.69 / $31.34	Professional		$3.29	$25.69	$31.34
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $3.56 / $3.73 / $3.87	Professional	26	$3.56	$3.73	$3.87
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $22.78 / $23.85 / $24.67	Professional	TC	$22.78	$23.85	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $30.02 / $35.03	Professional		$27.52	$30.02	$35.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $3.20 / $3.49 / $4.07	Professional	26	$3.20	$3.49	$4.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $24.32 / $26.53 / $30.95	Professional	TC	$24.32	$26.53	$30.95
United Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $31.28 / $41.02	Professional		$17.26	$31.28	$41.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $2.64 / $3.93 / $6.34	Professional	26	$2.64	$3.93	$6.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.62 / $27.64 / $34.68	Professional	TC	$14.62	$27.64	$34.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $30.03 / $54.57	Professional		$18.44	$30.03	$54.57
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $2.22 / $2.69 / $11.90	Professional	26	$2.22	$2.69	$11.90
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $19.70 / $42.67	Professional	TC	$16.23	$19.70	$42.67