Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.79 / $111.79 / $111.80	Facility	26	$111.79	$111.79	$111.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $197.12 / $476.75	Professional		$153.49	$197.12	$476.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.92 / $111.80 / $266.37	Professional	26	$90.92	$111.80	$266.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $67.28 / $110.68	Professional	TC	$41.69	$67.28	$110.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $199.74 / $329.06	Professional		$151.44	$199.74	$329.06
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.31 / $150.59 / $243.33	Professional	26	$111.31	$150.59	$243.33
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.07 / $48.60 / $83.86	Professional	TC	$36.07	$48.60	$83.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $248.72 / $632.27	Professional		$138.41	$248.72	$632.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.46 / $155.47 / $212.41	Professional	26	$100.46	$155.47	$212.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.80 / $56.79 / $192.90	Professional	TC	$26.80	$56.79	$192.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $230.96 / $536.71	Professional		$153.49	$230.96	$536.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $111.80 / $168.24 / $210.83	Professional	26	$111.80	$168.24	$210.83
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $41.70 / $62.22 / $78.63	Professional	TC	$41.70	$62.22	$78.63
United Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $278.39 / $469.26	Professional		$197.38	$278.39	$469.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.59 / $177.50 / $380.13	Professional	26	$124.59	$177.50	$380.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.67 / $58.24 / $230.86	Professional	TC	$37.67	$58.24	$230.86