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 $427.44 / $501.88 / $936.84	Professional		$427.44	$501.88	$936.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $188.34 / $239.15 / $685.28	Professional	26	$188.34	$239.15	$685.28
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $270.72 / $430.21	Professional	TC	$239.11	$270.72	$430.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $668.34 / $1,079.89	Professional		$494.00	$668.34	$1,079.89
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $235.07 / $318.02 / $513.87	Professional	26	$235.07	$318.02	$513.87
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $259.27 / $353.32 / $566.77	Professional	TC	$259.27	$353.32	$566.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.80 / $690.00 / $989.73	Professional		$456.80	$690.00	$989.73
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $216.50 / $327.94 / $461.08	Professional	26	$216.50	$327.94	$461.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.94 / $370.13 / $532.88	Professional	TC	$245.94	$370.13	$532.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.88 / $755.21 / $946.40	Professional		$501.88	$755.21	$946.40
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 $266.19 / $400.55 / $501.95	Professional	TC	$266.19	$400.55	$501.95
United Facility/Professional Professional Modifier Low / Median / High Price $597.79 / $799.23 / $1,243.28	Professional		$597.79	$799.23	$1,243.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $283.58 / $375.60 / $581.04	Professional	26	$283.58	$375.60	$581.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $314.22 / $463.55 / $746.66	Professional	TC	$314.22	$463.55	$746.66