Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $38.49 / $177.00	Professional		$24.81	$38.49	$177.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $8.88 / $35.15	Professional	26	$7.58	$8.88	$35.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.52 / $28.33 / $36.13	Professional	TC	$17.52	$28.33	$36.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $41.91 / $110.26	Professional		$29.87	$41.91	$110.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.07 / $9.94 / $17.57	Professional	26	$8.07	$9.94	$17.57
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $30.67 / $54.79	Professional	TC	$21.80	$30.67	$54.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $46.46 / $54.93	Professional		$9.61	$46.46	$54.93
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $10.79 / $11.06	Professional	26	$10.30	$10.79	$11.06
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $41.90 / $43.87 / $43.87	Professional	TC	$41.90	$43.87	$43.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $35.14 / $40.99	Professional		$31.04	$35.14	$40.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.38 / $9.49 / $11.07	Professional	26	$8.38	$9.49	$11.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $22.65 / $25.64 / $29.92	Professional	TC	$22.65	$25.64	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.60 / $61.80	Professional		$29.00	$36.60	$61.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.44 / $9.89 / $14.14	Professional	26	$7.44	$9.89	$14.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.80 / $26.71 / $46.80	Professional	TC	$21.80	$26.71	$46.80
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $46.10 / $260.93	Professional		$31.49	$46.10	$260.93
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $7.55 / $9.55 / $16.22	Professional	26	$7.55	$9.55	$16.22
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $22.72 / $35.57 / $42.08	Professional	TC	$22.72	$35.57	$42.08