Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.22 / $34.22 / $50.05	Facility	26	$34.22	$34.22	$50.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $107.19 / $627.40	Professional		$62.40	$107.19	$627.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $69.81 / $671.67	Professional	26	$28.73	$69.81	$671.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $40.02 / $101.80	Professional	TC	$35.34	$40.02	$101.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $95.63 / $153.40	Professional		$70.17	$95.63	$153.40
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $46.30 / $74.81	Professional	26	$34.22	$46.30	$74.81
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.08 / $48.99 / $79.65	Professional	TC	$36.08	$48.99	$79.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $98.28 / $169.68	Professional		$62.30	$98.28	$169.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.46 / $47.82 / $75.93	Professional	26	$30.46	$47.82	$75.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.46 / $51.92 / $77.00	Professional	TC	$32.46	$51.92	$77.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $106.82 / $133.87	Professional		$70.98	$106.82	$133.87
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.22 / $51.51 / $64.55	Professional	26	$34.22	$51.51	$64.55
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $36.76 / $55.32 / $69.31	Professional	TC	$36.76	$55.32	$69.31
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $109.04 / $169.63	Professional		$84.81	$109.04	$169.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.29 / $53.70 / $83.90	Professional	26	$38.29	$53.70	$83.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.48 / $58.26 / $85.73	Professional	TC	$47.48	$58.26	$85.73