Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.44 / $10.48 / $37.53	Professional	26	$9.44	$10.48	$37.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.12 / $16.53 / $67.03	Professional	TC	$15.12	$16.53	$67.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.78 / $26.79 / $41.77	Professional	26	$20.78	$26.79	$41.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.74 / $41.25 / $62.06	Professional	TC	$30.74	$41.25	$62.06
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $26.20 / $27.43 / $28.13	Professional	26	$26.20	$27.43	$28.13
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $44.25 / $45.20 / $46.34	Professional	TC	$44.25	$45.20	$46.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $24.72 / $29.09 / $33.94	Professional	26	$24.72	$29.09	$33.94
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $40.36 / $47.50 / $55.41	Professional	TC	$40.36	$47.50	$55.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.82 / $30.30 / $31.83	Professional	26	$21.82	$30.30	$31.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.61 / $47.09 / $49.48	Professional	TC	$35.61	$47.09	$49.48
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $26.11 / $26.11	Professional	26	$26.11	$26.11	$26.11
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $42.75 / $42.75 / $42.75	Professional	TC	$42.75	$42.75	$42.75