Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	26	$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $501.19	Professional		$177.83	$257.04	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $61.66 / $141.25	Professional	26	$51.29	$61.66	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $190.55 / $354.81	Professional	TC	$134.90	$190.55	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $562.34	Professional		$213.80	$302.00	$562.34
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $112.20	Professional	26	$60.26	$77.62	$112.20
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $218.78 / $457.09	Professional	TC	$154.88	$218.78	$457.09
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $630.96	Professional		$186.21	$331.13	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $134.90	Professional	26	$48.98	$69.18	$134.90
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $257.04 / $524.81	Professional	TC	$134.90	$257.04	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,698.24	Professional		$288.40	$416.87	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $89.13 / $302.00	Professional	26	$81.28	$89.13	$302.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $229.09 / $1,380.38	Professional	TC	$208.93	$229.09	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $295.12	Professional		$181.97	$204.17	$295.12
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $117.49	Professional	26	$56.23	$56.23	$117.49
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $147.91 / $181.97	Professional	TC	$138.04	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $616.60	Professional		$234.42	$354.81	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $141.25	Professional	26	$50.12	$79.43	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $295.12 / $478.63	Professional	TC	$173.78	$295.12	$478.63