Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $33.85 / $90.74	Professional		$32.64	$33.85	$90.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.91 / $21.89 / $31.28	Professional	26	$20.91	$21.89	$31.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.75 / $12.32 / $59.46	Professional	TC	$10.75	$12.32	$59.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $52.78 / $69.18	Professional		$32.60	$52.78	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.36 / $23.94 / $34.47	Professional	26	$17.36	$23.94	$34.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.39 / $25.69 / $43.90	Professional	TC	$12.39	$25.69	$43.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $39.15 / $68.43	Professional		$24.46	$39.15	$68.43
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $27.43 / $28.12	Professional	26	$26.20	$27.43	$28.12
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $40.99 / $40.99 / $40.99	Professional	TC	$40.99	$40.99	$40.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $66.41 / $77.48	Professional		$56.45	$66.41	$77.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $24.26 / $28.31	Professional	26	$20.62	$24.26	$28.31
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.82 / $42.14 / $49.17	Professional	TC	$35.82	$42.14	$49.17
United Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $69.18 / $87.00	Professional		$45.94	$69.18	$87.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.62 / $25.28 / $61.14	Professional	26	$20.62	$25.28	$61.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.68 / $42.73 / $44.31	Professional	TC	$24.68	$42.73	$44.31
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $63.12 / $82.27	Professional		$36.47	$63.12	$82.27
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $17.48 / $24.12 / $45.90	Professional	26	$17.48	$24.12	$45.90
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $12.36 / $34.49 / $50.32	Professional	TC	$12.36	$34.49	$50.32