Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $13.18 / $16.98	Facility	26	$10.23	$13.18	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $95.50	Professional		$28.18	$38.02	$95.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $11.75 / $33.11	Professional	26	$7.94	$11.75	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.70 / $53.70	Professional	TC	$19.05	$25.70	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $70.79	Professional		$33.88	$47.86	$70.79
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $13.49 / $19.50	Professional	26	$10.23	$13.49	$19.50
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.88 / $50.12	Professional	TC	$22.39	$33.88	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $75.86	Professional		$28.84	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.49 / $25.12	Professional	26	$9.12	$13.49	$25.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $51.29	Professional	TC	$19.95	$28.84	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $162.18	Professional		$51.29	$57.54	$162.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $15.85 / $48.98	Professional	26	$14.45	$15.85	$48.98
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $41.69 / $114.82	Professional	TC	$38.02	$41.69	$114.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $53.70	Professional		$33.11	$37.15	$53.70
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $10.23 / $15.85	Professional	26	$9.77	$10.23	$15.85
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $26.30 / $37.15	Professional	TC	$23.44	$26.30	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $72.44	Professional		$31.62	$44.67	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $23.44	Professional	26	$10.23	$14.13	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $30.90 / $50.12	Professional	TC	$21.38	$30.90	$50.12