Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.94 / $7.94 / $12.30	Facility	26	$7.94	$7.94	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $79.43	Professional		$28.18	$37.15	$79.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $8.91 / $21.88	Professional	26	$7.08	$8.91	$21.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.18 / $54.95	Professional	TC	$19.95	$28.18	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $77.62	Professional		$33.88	$52.48	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.75 / $16.98	Professional	26	$8.71	$11.75	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $61.66	Professional	TC	$23.99	$39.81	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $79.43	Professional		$26.92	$42.66	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.48 / $20.42	Professional	26	$7.94	$11.48	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $60.26	Professional	TC	$19.05	$30.90	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $128.82	Professional		$50.12	$66.07	$128.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.45 / $40.74	Professional	26	$13.18	$14.45	$40.74
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $52.48 / $87.10	Professional	TC	$46.77	$52.48	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $58.88	Professional		$37.15	$42.66	$58.88
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $9.12 / $13.80	Professional	26	$8.51	$9.12	$13.80
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $33.11 / $45.71	Professional	TC	$28.84	$33.11	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $77.62	Professional		$30.20	$47.86	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $11.75 / $19.95	Professional	26	$8.71	$11.75	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $34.67 / $58.88	Professional	TC	$20.89	$34.67	$58.88