Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $46.77	Professional		$19.95	$26.92	$46.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.89 / $25.70	Professional	26	$15.85	$20.89	$25.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $28.84	Professional		$18.20	$25.12	$28.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $19.95 / $23.99	Professional	26	$17.38	$19.95	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $3.98 / $5.01	Professional	TC	$1.12	$3.98	$5.01
HMSA Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $77.62	Professional		$40.74	$74.13	$77.62
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $29.51 / $30.20	Professional	26	$28.18	$29.51	$30.20
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $47.86 / $47.86	Professional	TC	$45.71	$47.86	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Professional		$28.84	$28.84	$38.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $23.44 / $31.62	Professional	26	$23.44	$23.44	$31.62
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $5.25 / $5.25 / $7.08	Professional	TC	$5.25	$5.25	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $43.65	Professional		$17.78	$31.62	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $21.88 / $30.20	Professional	26	$15.14	$21.88	$30.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $2.95 / $5.01 / $23.44	Professional	TC	$2.95	$5.01	$23.44
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $58.88	Professional		$19.05	$31.62	$58.88
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $25.12 / $33.11	Professional	26	$15.49	$25.12	$33.11
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $3.80 / $6.31 / $34.67	Professional	TC	$3.80	$6.31	$34.67