Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $11.05 / $14.91	Professional	26	$8.08	$11.05	$14.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $27.57 / $39.11	Professional	TC	$19.11	$27.57	$39.11
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $15.07 / $21.68	Professional	26	$11.32	$15.07	$21.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.60 / $40.04 / $57.61	Professional	TC	$28.60	$40.04	$57.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $13.68 / $23.72	Professional	26	$9.27	$13.68	$23.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.82 / $31.09 / $54.91	Professional	TC	$20.82	$31.09	$54.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $13.68 / $17.04 / $23.14	Professional	26	$13.68	$17.04	$23.14
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $35.33 / $44.03 / $59.80	Professional	TC	$35.33	$44.03	$59.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.46 / $18.48 / $28.88	Professional	26	$10.46	$18.48	$28.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.52 / $42.89 / $62.54	Professional	TC	$24.52	$42.89	$62.54