Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $141.25	Professional		$70.79	$85.11	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $43.65 / $70.79	Professional	26	$38.02	$43.65	$70.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.74 / $61.66	Professional	TC	$23.99	$40.74	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $138.04	Professional		$56.23	$91.20	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $50.12 / $72.44	Professional	26	$38.02	$50.12	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $43.65 / $58.88	Professional	TC	$18.20	$43.65	$58.88
HMSA Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $120.23	Professional		$51.29	$66.07	$120.23
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $66.07 / $67.61	Professional	26	$63.10	$66.07	$67.61
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $53.70 / $53.70	Professional	TC	$53.70	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $125.89	Professional		$91.20	$107.15	$125.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $50.12 / $58.88	Professional	26	$42.66	$50.12	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $57.54 / $66.07	Professional	TC	$48.98	$57.54	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $125.89	Professional		$77.62	$104.71	$125.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $50.12 / $69.18	Professional	26	$40.74	$50.12	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.31 / $52.48 / $58.88	Professional	TC	$36.31	$52.48	$58.88
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $181.97	Professional		$67.61	$109.65	$181.97
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $51.29 / $91.20	Professional	26	$37.15	$51.29	$91.20
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $53.70 / $66.07	Professional	TC	$30.90	$53.70	$66.07