Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.22 / $48.23 / $74.62	Facility	26	$48.22	$48.23	$74.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $167.89 / $281.60	Professional		$144.37	$167.89	$281.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.89 / $48.23 / $120.00	Professional	26	$42.89	$48.23	$120.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $96.50 / $120.78 / $193.59	Professional	TC	$96.50	$120.78	$193.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $231.78 / $333.47	Professional		$166.57	$231.78	$333.47
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.33 / $66.90 / $95.56	Professional	26	$48.33	$66.90	$95.56
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $117.56 / $164.88 / $237.23	Professional	TC	$117.56	$164.88	$237.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $211.33 / $353.91	Professional		$148.34	$211.33	$353.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.48 / $62.63 / $105.92	Professional	26	$42.48	$62.63	$105.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $105.86 / $148.69 / $248.06	Professional	TC	$105.86	$148.69	$248.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.86 / $259.02 / $351.76	Professional		$207.86	$259.02	$351.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $59.72 / $74.42 / $101.07	Professional	26	$59.72	$74.42	$101.07
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $148.15 / $184.62 / $250.71	Professional	TC	$148.15	$184.62	$250.71
United Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $274.86 / $449.02	Professional		$187.87	$274.86	$449.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.39 / $82.80 / $128.13	Professional	26	$54.39	$82.80	$128.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $133.52 / $193.72 / $301.35	Professional	TC	$133.52	$193.72	$301.35