Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.41 / $101.23 / $101.23	Facility	26	$96.41	$101.23	$101.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.51 / $1,002.74 / $1,807.17	Professional		$715.51	$1,002.74	$1,807.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $644.71 / $901.51 / $1,621.47	Professional	TC	$644.71	$901.51	$1,621.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.41 / $1,406.84 / $2,273.14	Professional		$1,019.41	$1,406.84	$2,273.14
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $910.96 / $1,268.40 / $2,049.44	Professional	TC	$910.96	$1,268.40	$2,049.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.28 / $1,265.05 / $1,719.12	Professional		$786.28	$1,265.05	$1,719.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $706.41 / $1,115.66 / $1,649.57	Professional	TC	$706.41	$1,115.66	$1,649.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.74 / $1,508.88 / $1,890.88	Professional		$1,002.74	$1,508.88	$1,890.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.23 / $152.33 / $190.89	Professional	26	$101.23	$152.33	$190.89
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $901.51 / $1,356.56 / $1,699.99	Professional	TC	$901.51	$1,356.56	$1,699.99
United Facility/Professional Professional Modifier Low / Median / High Price $766.48 / $1,420.49 / $3,033.63	Professional		$766.48	$1,420.49	$3,033.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $690.76 / $1,216.08 / $1,880.61	Professional	TC	$690.76	$1,216.08	$1,880.61