Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $223.87	Professional		$44.67	$52.48	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $28.84 / $147.91	Professional	26	$24.55	$28.84	$147.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $33.11 / $309.03 / $323.59	Professional	52	$33.11	$309.03	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $23.99 / $66.07	Professional	TC	$18.20	$23.99	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $38.90	Professional		$21.88	$38.90	$38.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $25.12 / $57.54	Professional	26	$25.12	$25.12	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $14.13 / $14.79	Professional	TC	$14.13	$14.13	$14.79
HMSA Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $63.10	Professional		$30.90	$34.67	$63.10
HMSA Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $35.48 / $37.15	Professional	26	$34.67	$35.48	$37.15
HMSA Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $28.18 / $28.84	Professional	TC	$26.92	$28.18	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $60.26	Professional		$46.77	$51.29	$60.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $33.88 / $39.81	Professional	26	$30.90	$33.88	$39.81
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $17.38 / $20.42	Professional	TC	$15.85	$17.38	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $97.72	Professional		$42.66	$77.62	$97.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $44.67 / $57.54	Professional	26	$32.36	$44.67	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $35.48 / $43.65	Professional	TC	$18.62	$35.48	$43.65