Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $18.20 / $23.44	Facility	26	$14.13	$18.20	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $102.33	Professional		$33.11	$44.67	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.49 / $42.66	Professional	26	$10.96	$15.49	$42.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $58.88	Professional	TC	$22.91	$30.20	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $89.13	Professional		$41.69	$60.26	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $18.62 / $26.92	Professional	26	$13.80	$18.62	$26.92
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $41.69 / $61.66	Professional	TC	$25.70	$41.69	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $93.33	Professional		$34.67	$51.29	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $17.38 / $31.62	Professional	26	$11.75	$17.38	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $33.11 / $61.66	Professional	TC	$22.91	$33.11	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $190.55	Professional		$57.54	$69.18	$190.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $21.38 / $58.88	Professional	26	$19.50	$21.38	$58.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $48.98 / $131.83	Professional	TC	$44.67	$48.98	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $44.67 / $69.18	Professional		$41.69	$44.67	$69.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $13.49 / $21.88	Professional	26	$13.49	$13.49	$21.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $30.90 / $45.71	Professional	TC	$28.84	$30.90	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $91.20	Professional		$39.81	$56.23	$91.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.62 / $31.62	Professional	26	$12.88	$18.62	$31.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $37.15 / $61.66	Professional	TC	$25.70	$37.15	$61.66