Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.56 / $41.54 / $41.54	Facility	26	$39.56	$41.54	$41.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $99.54 / $231.60	Professional		$52.52	$99.54	$231.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $41.54 / $63.25	Professional	26	$36.49	$41.54	$63.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $71.08 / $168.34	Professional	TC	$16.03	$71.08	$168.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $200.17 / $323.43	Professional		$145.04	$200.17	$323.43
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.48 / $56.53 / $90.68	Professional	26	$41.48	$56.53	$90.68
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $104.38 / $144.05 / $232.75	Professional	TC	$104.38	$144.05	$232.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $157.27 / $238.48	Professional		$80.59	$157.27	$238.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.86 / $58.91 / $80.14	Professional	26	$37.86	$58.91	$80.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.92 / $90.00 / $160.72	Professional	TC	$17.92	$90.00	$160.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $219.00 / $274.45	Professional		$145.54	$219.00	$274.45
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.54 / $62.50 / $78.33	Professional	26	$41.54	$62.50	$78.33
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $103.99 / $153.51 / $192.32	Professional	TC	$103.99	$153.51	$192.32
United Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $178.45 / $294.54	Professional		$87.01	$178.45	$294.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $49.74 / $66.88 / $101.95	Professional	26	$49.74	$66.88	$101.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $116.29 / $205.73	Professional	TC	$16.59	$116.29	$205.73