Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.68 / $235.68 / $345.41	Facility	26	$235.68	$235.68	$345.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.30 / $557.72 / $1,051.97	Professional		$503.30	$557.72	$1,051.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $198.28 / $239.15 / $572.66	Professional	26	$198.28	$239.15	$572.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $277.70 / $347.18 / $449.00	Professional	TC	$277.70	$347.18	$449.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.90 / $694.87 / $1,144.74	Professional		$509.90	$694.87	$1,144.74
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $242.24 / $318.02 / $513.87	Professional	26	$242.24	$318.02	$513.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $272.52 / $374.52 / $616.99	Professional	TC	$272.52	$374.52	$616.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.39 / $764.30 / $1,543.65	Professional		$508.39	$764.30	$1,543.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.37 / $327.94 / $456.86	Professional	26	$213.37	$327.94	$456.86
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $248.79 / $431.73 / $724.87	Professional	TC	$248.79	$431.73	$724.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $513.40 / $772.54 / $968.12	Professional		$513.40	$772.54	$968.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $235.69 / $354.66 / $444.45	Professional	26	$235.69	$354.66	$444.45
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $277.70 / $417.88 / $523.66	Professional	TC	$277.70	$417.88	$523.66
United Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $871.57 / $1,245.09	Professional		$690.00	$871.57	$1,245.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $271.44 / $381.17 / $581.04	Professional	26	$271.44	$381.17	$581.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $353.27 / $496.70 / $873.02	Professional	TC	$353.27	$496.70	$873.02