Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.79 / $48.08 / $48.08	Facility	26	$45.79	$48.08	$48.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $66.29 / $139.68	Professional		$55.57	$66.29	$139.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $48.08 / $99.20	Professional	26	$37.99	$48.08	$99.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.57 / $20.67 / $33.35	Professional	TC	$17.57	$20.67	$33.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $92.13 / $148.87	Professional		$67.53	$92.13	$148.87
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.30 / $64.54 / $104.28	Professional	26	$47.30	$64.54	$104.28
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.74 / $28.26 / $45.34	Professional	TC	$20.74	$28.26	$45.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $95.28 / $145.13	Professional		$61.63	$95.28	$145.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.90 / $66.53 / $90.70	Professional	26	$42.90	$66.53	$90.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.32 / $28.76 / $38.44	Professional	TC	$18.32	$28.76	$38.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $103.44 / $129.63	Professional		$68.73	$103.44	$129.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $48.08 / $72.34 / $90.66	Professional	26	$48.08	$72.34	$90.66
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $20.66 / $31.09 / $38.97	Professional	TC	$20.66	$31.09	$38.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $105.54 / $166.00	Professional		$76.73	$105.54	$166.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.63 / $75.65 / $118.20	Professional	26	$51.63	$75.65	$118.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $31.27 / $47.80	Professional	TC	$23.44	$31.27	$47.80