Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.57 / $9.69 / $24.63	Professional	26	$8.57	$9.69	$24.63
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.86 / $23.67 / $50.00	Professional	TC	$19.86	$23.67	$50.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.65 / $14.24 / $28.57	Professional	26	$9.65	$14.24	$28.57
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.99 / $32.29 / $67.40	Professional	TC	$21.99	$32.29	$67.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $17.23 / $28.85	Professional	26	$9.84	$17.23	$28.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.51 / $38.97 / $67.09	Professional	TC	$23.51	$38.97	$67.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $11.42 / $18.20 / $39.38	Professional	26	$11.42	$18.20	$39.38
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $28.42 / $45.31 / $95.01	Professional	TC	$28.42	$45.31	$95.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.81 / $13.79 / $23.10	Professional	26	$9.81	$13.79	$23.10
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.86 / $32.03 / $56.85	Professional	TC	$23.86	$32.03	$56.85