Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.84 / $85.84 / $125.67	Facility	26	$85.84	$85.84	$125.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.72 / $540.34 / $1,126.77	Professional		$469.72	$540.34	$1,126.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.73 / $85.85 / $198.39	Professional	26	$67.73	$85.85	$198.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $383.87 / $468.45 / $621.46	Professional	TC	$383.87	$468.45	$621.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.03 / $660.39 / $1,067.04	Professional		$484.03	$660.39	$1,067.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.73 / $115.98 / $187.41	Professional	26	$85.73	$115.98	$187.41
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $396.98 / $544.40 / $879.63	Professional	TC	$396.98	$544.40	$879.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.65 / $683.61 / $1,019.23	Professional		$455.65	$683.61	$1,019.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.26 / $119.89 / $163.37	Professional	26	$77.26	$119.89	$163.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $369.22 / $574.35 / $851.83	Professional	TC	$369.22	$574.35	$851.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.73 / $706.83 / $885.77	Professional		$469.73	$706.83	$885.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $129.18 / $161.88	Professional	26	$85.85	$129.18	$161.88
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $383.87 / $577.63 / $725.75	Professional	TC	$383.87	$577.63	$725.75
United Facility/Professional Professional Modifier Low / Median / High Price $569.39 / $816.60 / $1,270.34	Professional		$569.39	$816.60	$1,270.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.37 / $136.27 / $212.93	Professional	26	$92.37	$136.27	$212.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $513.58 / $722.74 / $1,481.42	Professional	TC	$513.58	$722.74	$1,481.42