Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $12.30 / $18.20	Facility	26	$10.96	$12.30	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $107.15	Professional		$30.90	$42.66	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $14.79 / $30.90	Professional	26	$8.13	$14.79	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $29.51 / $61.66	Professional	TC	$20.89	$29.51	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $79.43	Professional		$33.88	$53.70	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.13 / $20.89	Professional	26	$10.23	$14.13	$20.89
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $39.81 / $58.88	Professional	TC	$24.55	$39.81	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $81.28	Professional		$29.51	$43.65	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $12.30 / $22.91	Professional	26	$8.71	$12.30	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.90 / $58.88	Professional	TC	$20.89	$30.90	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $177.83	Professional		$50.12	$63.10	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $16.60 / $50.12	Professional	26	$15.14	$16.60	$50.12
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $46.77 / $128.82	Professional	TC	$42.66	$46.77	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $60.26	Professional		$37.15	$40.74	$60.26
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $10.47 / $16.98	Professional	26	$10.47	$10.47	$16.98
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $30.20 / $43.65	Professional	TC	$26.92	$30.20	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $81.28	Professional		$33.11	$47.86	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.13 / $24.55	Professional	26	$9.12	$14.13	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $34.67 / $56.23	Professional	TC	$23.99	$34.67	$56.23