Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $37.22 / $167.15	Professional		$29.92	$37.22	$167.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.37 / $8.61 / $38.89	Professional	26	$7.37	$8.61	$38.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $27.11 / $33.40	Professional	TC	$22.57	$27.11	$33.40
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $33.24 / $67.25	Professional		$22.77	$33.24	$67.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.61 / $15.62	Professional	26	$6.67	$8.61	$15.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.11 / $24.63 / $51.49	Professional	TC	$16.11	$24.63	$51.49
HMSA Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $47.66 / $55.39	Professional		$11.34	$47.66	$55.39
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $11.74 / $12.29 / $12.60	Professional	26	$11.74	$12.29	$12.60
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $35.92 / $37.61 / $37.61	Professional	TC	$35.92	$37.61	$37.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $31.91 / $37.22	Professional		$29.25	$31.91	$37.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.27 / $9.65	Professional	26	$7.58	$8.27	$9.65
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $21.67 / $23.64 / $27.58	Professional	TC	$21.67	$23.64	$27.58
United Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $38.90 / $45.06	Professional		$27.07	$38.90	$45.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.52 / $8.61 / $11.61	Professional	26	$6.52	$8.61	$11.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.55 / $24.63 / $33.45	Professional	TC	$18.55	$24.63	$33.45
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $37.25 / $75.93	Professional		$25.53	$37.25	$75.93
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $6.58 / $8.98 / $15.38	Professional	26	$6.58	$8.98	$15.38
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $18.95 / $27.64 / $52.94	Professional	TC	$18.95	$27.64	$52.94