Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $61.66	Professional		$30.20	$33.88	$61.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $50.12	Professional	26	$19.05	$22.91	$50.12
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $11.48 / $15.85	Professional	TC	$8.91	$11.48	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $95.50	Professional		$35.48	$41.69	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.92 / $58.88	Professional	26	$21.88	$26.92	$58.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.30 / $14.45 / $37.15	Professional	TC	$12.30	$14.45	$37.15
HMSA Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $46.77	Professional		$17.78	$29.51	$46.77
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $30.20 / $30.90	Professional	26	$28.84	$30.20	$30.90
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $16.22 / $16.22	Professional	TC	$15.49	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $58.88	Professional		$39.81	$47.86	$58.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $28.18 / $34.67	Professional	26	$23.44	$28.18	$34.67
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $19.50 / $23.99	Professional	TC	$16.22	$19.50	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $61.66	Professional		$30.90	$42.66	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.92 / $41.69	Professional	26	$20.42	$26.92	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.00 / $14.45 / $21.38	Professional	TC	$10.00	$14.45	$21.38
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $295.12	Professional		$25.12	$40.74	$295.12
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $23.99 / $28.84	Professional	26	$16.22	$23.99	$28.84
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $9.12 / $14.79 / $19.95	Professional	TC	$9.12	$14.79	$19.95