Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $30.99 / $31.58	Professional		$24.08	$30.99	$31.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.37 / $26.12 / $27.12	Professional	26	$21.37	$26.12	$27.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.04 / $15.50 / $15.79	Professional	52	$12.04	$15.50	$15.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.70 / $4.46 / $4.86	Professional	TC	$2.70	$4.46	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $28.73 / $36.59	Professional		$21.58	$28.73	$36.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $24.11 / $31.25	Professional	26	$20.39	$24.11	$31.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $3.81 / $5.34	Professional	TC	$1.12	$3.81	$5.34
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $75.97 / $79.55	Professional		$24.28	$75.97	$79.55
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $26.61 / $27.86 / $28.57	Professional	26	$26.61	$27.86	$28.57
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $48.69 / $50.98 / $50.98	Professional	TC	$48.69	$50.98	$50.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $32.20 / $40.98	Professional		$32.20	$32.20	$40.98
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $27.50 / $27.50 / $35.00	Professional	26	$27.50	$27.50	$35.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $4.70 / $4.70 / $5.98	Professional	TC	$4.70	$4.70	$5.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $36.59 / $47.90	Professional		$28.03	$36.59	$47.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.18 / $30.86 / $40.74	Professional	26	$24.18	$30.86	$40.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.88 / $5.34 / $12.75	Professional	TC	$3.88	$5.34	$12.75
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $35.89 / $59.45	Professional		$22.04	$35.89	$59.45
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $22.53 / $30.74	Professional	26	$18.55	$22.53	$30.74
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $3.49 / $5.68 / $39.53	Professional	TC	$3.49	$5.68	$39.53