Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $41.15 / $77.09	Professional		$35.74	$41.15	$77.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.78 / $11.80 / $13.95	Professional	26	$10.78	$11.80	$13.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.95 / $28.44 / $38.99	Professional	TC	$24.95	$28.44	$38.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $51.73 / $90.88	Professional		$42.59	$51.73	$90.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.36 / $14.93 / $25.88	Professional	26	$12.36	$14.93	$25.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.89 / $37.08 / $65.04	Professional	TC	$29.89	$37.08	$65.04
HMSA Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $51.21 / $59.35	Professional		$13.78	$51.21	$59.35
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $15.10 / $15.81 / $16.21	Professional	26	$15.10	$15.81	$16.21
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $41.20 / $43.14 / $43.14	Professional	TC	$41.20	$43.14	$43.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $57.36 / $66.92	Professional		$50.67	$57.36	$66.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $12.66 / $14.33 / $16.72	Professional	26	$12.66	$14.33	$16.72
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.01 / $43.03 / $50.20	Professional	TC	$38.01	$43.03	$50.20
United Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $51.88 / $80.53	Professional		$37.35	$51.88	$80.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.44 / $14.02 / $20.09	Professional	26	$10.44	$14.02	$20.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.83 / $36.58 / $48.65	Professional	TC	$25.83	$36.58	$48.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $51.03 / $55.50	Professional		$31.33	$51.03	$55.50
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $13.22 / $15.97	Professional	26	$9.02	$13.22	$15.97
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $22.32 / $36.34 / $39.53	Professional	TC	$22.32	$36.34	$39.53