Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.74 / $112.08 / $171.53	Facility	26	$106.74	$112.08	$171.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.96 / $475.00 / $613.82	Professional		$327.96	$475.00	$613.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.25 / $140.00 / $211.42	Professional	26	$105.25	$140.00	$211.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $219.88 / $335.00 / $413.49	Professional	TC	$219.88	$335.00	$413.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $465.29 / $1,190.26	Professional		$336.88	$465.29	$1,190.26
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $113.38 / $155.63 / $222.31	Professional	26	$113.38	$155.63	$222.31
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $233.94 / $336.47 / $841.19	Professional	TC	$233.94	$336.47	$841.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $217.92 / $217.92 / $217.92	Facility	26	$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $531.60 / $900.27	Professional		$329.33	$531.60	$900.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.58 / $135.19 / $241.41	Professional	26	$97.58	$135.19	$241.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $231.35 / $366.81 / $634.32	Professional	TC	$231.35	$366.81	$634.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.08 / $577.60 / $822.64	Professional		$455.08	$577.60	$822.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $138.76 / $172.92 / $401.73	Professional	26	$138.76	$172.92	$401.73
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $316.32 / $394.18 / $651.00	Professional	TC	$316.32	$394.18	$651.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $762.48 / $1,304.65	Professional		$470.69	$762.48	$1,304.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.34 / $176.48 / $294.13	Professional	26	$73.34	$176.48	$294.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $357.98 / $543.76 / $924.57	Professional	TC	$357.98	$543.76	$924.57