Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.85 / $159.44 / $159.44	Facility	26	$151.85	$159.44	$159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $425.88 / $825.94	Professional		$317.47	$425.88	$825.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $159.44 / $290.68	Professional	26	$131.81	$159.44	$290.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $280.11 / $536.74	Professional	TC	$185.65	$280.11	$536.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.37 / $660.86 / $1,067.80	Professional		$484.37	$660.86	$1,067.80
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $157.34 / $216.23 / $346.86	Professional	26	$157.34	$216.23	$346.86
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $323.64 / $446.65 / $721.69	Professional	TC	$323.64	$446.65	$721.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.23 / $598.00 / $807.89	Professional		$411.23	$598.00	$807.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.63 / $221.24 / $310.20	Professional	26	$146.63	$221.24	$310.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.98 / $378.62 / $508.56	Professional	TC	$246.98	$378.62	$508.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.79 / $740.02 / $927.37	Professional		$491.79	$740.02	$927.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $159.44 / $239.92 / $300.66	Professional	26	$159.44	$239.92	$300.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $332.35 / $500.10 / $626.71	Professional	TC	$332.35	$500.10	$626.71
United Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $641.54 / $1,043.90	Professional		$444.98	$641.54	$1,043.90
United Facility/Professional Professional Modifier 26 Low / Median / High Price $189.80 / $252.30 / $392.48	Professional	26	$189.80	$252.30	$392.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $255.18 / $390.85 / $651.41	Professional	TC	$255.18	$390.85	$651.41