Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $30.06 / $78.58	Professional		$28.39	$30.06	$78.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.84 / $15.38 / $22.27	Professional	26	$14.84	$15.38	$22.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $13.01 / $14.93 / $56.30	Professional	TC	$13.01	$14.93	$56.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $46.85 / $59.50	Professional		$26.68	$46.85	$59.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $16.84 / $24.71	Professional	26	$12.25	$16.84	$24.71
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.25 / $25.23 / $41.58	Professional	TC	$13.25	$25.23	$41.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $38.47 / $57.90	Professional		$17.48	$38.47	$57.90
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $18.55 / $19.42 / $19.89	Professional	26	$18.55	$19.42	$19.89
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $38.47 / $38.47 / $38.47	Professional	TC	$38.47	$38.47	$38.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $57.12 / $66.64	Professional		$48.55	$57.12	$66.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $17.22 / $20.09	Professional	26	$14.64	$17.22	$20.09
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $33.93 / $39.90 / $46.56	Professional	TC	$33.93	$39.90	$46.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $59.50 / $76.04	Professional		$39.08	$59.50	$76.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.64 / $17.94 / $42.56	Professional	26	$14.64	$17.94	$42.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $40.11 / $43.08	Professional	TC	$23.99	$40.11	$43.08
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $54.56 / $73.34	Professional		$31.89	$54.56	$73.34
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $12.21 / $16.84 / $31.96	Professional	26	$12.21	$16.84	$31.96
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $15.05 / $34.28 / $47.86	Professional	TC	$15.05	$34.28	$47.86