Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $30.20	Professional		$12.88	$16.98	$30.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $2.00 / $3.02 / $6.03	Professional	26	$2.00	$3.02	$6.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $13.80 / $22.91	Professional	TC	$10.96	$13.80	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $47.86	Professional		$19.05	$27.54	$47.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $6.03 / $9.55	Professional	26	$3.09	$6.03	$9.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $21.88 / $38.90	Professional	TC	$15.14	$21.88	$38.90
HMSA Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $37.15 / $43.65	Professional		$8.32	$37.15	$43.65
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $7.08 / $7.24	Professional	26	$6.76	$7.08	$7.24
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $31.62 / $31.62	Professional	TC	$30.20	$31.62	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $26.92	Professional		$18.20	$21.38	$26.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $2.63 / $3.16 / $3.89	Professional	26	$2.63	$3.16	$3.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $18.62 / $22.91	Professional	TC	$15.49	$18.62	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $41.69	Professional		$16.98	$22.91	$41.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $3.09 / $5.01 / $10.00	Professional	26	$3.09	$5.01	$10.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $18.20 / $30.90	Professional	TC	$14.45	$18.20	$30.90
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $32.36	Professional		$14.79	$19.95	$32.36
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $2.69 / $3.63 / $6.31	Professional	26	$2.69	$3.63	$6.31
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.22 / $26.92	Professional	TC	$12.02	$16.22	$26.92