Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.10 / $39.10 / $58.39	Facility	26	$39.10	$39.10	$58.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $282.14 / $459.38	Professional		$171.22	$282.14	$459.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.35 / $39.11 / $88.17	Professional	26	$30.35	$39.11	$88.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.87 / $246.97 / $399.82	Professional	TC	$140.87	$246.97	$399.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.69 / $394.27 / $637.04	Professional		$285.69	$394.27	$637.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $39.40 / $53.31 / $86.14	Professional	26	$39.40	$53.31	$86.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $246.71 / $340.48 / $550.14	Professional	TC	$246.71	$340.48	$550.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $384.29 / $551.77	Professional		$213.44	$384.29	$551.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.03 / $55.24 / $74.06	Professional	26	$35.03	$55.24	$74.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $164.02 / $307.00 / $480.92	Professional	TC	$164.02	$307.00	$480.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $430.49 / $539.47	Professional		$286.08	$430.49	$539.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.11 / $58.86 / $73.76	Professional	26	$39.11	$58.86	$73.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $246.97 / $371.63 / $465.72	Professional	TC	$246.97	$371.63	$465.72
United Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $447.18 / $688.39	Professional		$230.38	$447.18	$688.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $61.79 / $108.86	Professional	26	$42.16	$61.79	$108.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.19 / $391.49 / $611.70	Professional	TC	$186.19	$391.49	$611.70