Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $63.39 / $256.77	Professional		$50.39	$63.39	$256.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.83 / $9.28 / $39.71	Professional	26	$7.83	$9.28	$39.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $24.34 / $26.60 / $31.70	Professional	52	$24.34	$26.60	$31.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.84 / $47.03 / $80.89	Professional	TC	$40.84	$47.03	$80.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $69.36 / $133.37	Professional		$58.92	$69.36	$133.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.70 / $18.89	Professional	26	$8.91	$10.70	$18.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $49.40 / $58.85 / $114.48	Professional	TC	$49.40	$58.85	$114.48
HMSA Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $68.59 / $76.06	Professional		$9.17	$68.59	$76.06
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $10.05 / $10.52 / $10.79	Professional	26	$10.05	$10.52	$10.79
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $62.35 / $65.29 / $65.29	Professional	TC	$62.35	$65.29	$65.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $73.37 / $85.60	Professional		$64.81	$73.37	$85.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $10.27 / $11.98	Professional	26	$9.07	$10.27	$11.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $55.75 / $63.11 / $73.63	Professional	TC	$55.75	$63.11	$73.63
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $70.66 / $96.52	Professional		$49.72	$70.66	$96.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $10.70 / $15.00	Professional	26	$7.80	$10.70	$15.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.92 / $56.80 / $82.10	Professional	TC	$41.92	$56.80	$82.10
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $76.64 / $243.61	Professional		$57.15	$76.64	$243.61
University Health Alliance Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $9.55 / $17.55	Professional	26	$6.48	$9.55	$17.55
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $40.59 / $59.38 / $106.06	Professional	TC	$40.59	$59.38	$106.06