Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.01 / $106.01 / $106.01	Facility	26	$106.01	$106.01	$106.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.65 / $356.65 / $506.07	Professional		$356.65	$356.65	$506.07
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $106.01 / $106.01 / $142.44	Professional	26	$106.01	$106.01	$142.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $250.09 / $250.64 / $368.42	Professional	TC	$250.09	$250.64	$368.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.43 / $558.23 / $769.98	Professional		$425.43	$558.23	$769.98
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $116.46 / $152.82 / $210.79	Professional	26	$116.46	$152.82	$210.79
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $308.95 / $405.40 / $559.17	Professional	TC	$308.95	$405.40	$559.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.22 / $523.15 / $694.13	Professional		$351.22	$523.15	$694.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.67 / $157.22 / $211.88	Professional	26	$126.67	$157.22	$211.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $221.15 / $367.45 / $482.25	Professional	TC	$221.15	$367.45	$482.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.68 / $531.37 / $679.02	Professional		$428.68	$531.37	$679.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $127.41 / $156.97 / $201.82	Professional	26	$127.41	$156.97	$201.82
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $301.25 / $380.78 / $477.18	Professional	TC	$301.25	$380.78	$477.18
United Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $503.89 / $1,167.08	Professional		$370.76	$503.89	$1,167.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $127.60 / $169.41 / $299.80	Professional	26	$127.60	$169.41	$299.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $241.92 / $371.78 / $820.04	Professional	TC	$241.92	$371.78	$820.04