Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $24.08 / $27.29 / $33.44	Facility	26	$24.08	$27.29	$33.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $147.91 / $322.98	Professional		$100.03	$147.91	$322.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $77.09 / $122.10 / $281.33	Professional	TC	$77.09	$122.10	$281.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $196.46 / $241.09	Professional		$83.70	$196.46	$241.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.64 / $161.41 / $207.65	Professional	TC	$46.64	$161.41	$207.65
HMSA Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $186.72 / $277.19	Professional		$34.43	$186.72	$277.19
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $195.52 / $226.03 / $236.68	Professional	TC	$195.52	$226.03	$236.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $231.44 / $270.02	Professional		$212.16	$231.44	$270.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.43 / $32.10 / $37.45	Professional	26	$29.43	$32.10	$37.45
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $182.73 / $199.34 / $232.57	Professional	TC	$182.73	$199.34	$232.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $208.30 / $241.09	Professional		$134.94	$208.30	$241.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.39 / $183.74 / $207.65	Professional	TC	$107.39	$183.74	$207.65
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $147.35 / $211.36	Professional		$74.05	$147.35	$211.36
University Health Alliance Facility/Professional Professional Modifier TC Low / Median / High Price $41.22 / $123.51 / $179.39	Professional	TC	$41.22	$123.51	$179.39