Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.34 / $107.34 / $107.35	Facility	26	$107.34	$107.34	$107.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $371.25 / $627.50	Professional		$293.74	$371.25	$627.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $102.65 / $163.77	Professional	26	$89.57	$102.65	$163.77
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $241.02 / $426.90	Professional	TC	$204.15	$241.02	$426.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $502.30 / $811.62	Professional		$368.16	$502.30	$811.62
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.58 / $145.09 / $232.75	Professional	26	$105.58	$145.09	$232.75
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $262.24 / $357.79 / $578.11	Professional	TC	$262.24	$357.79	$578.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.29 / $518.16 / $669.12	Professional		$329.29	$518.16	$669.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $98.53 / $148.81 / $209.92	Professional	26	$98.53	$148.81	$209.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $235.64 / $359.85 / $465.67	Professional	TC	$235.64	$359.85	$465.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.26 / $558.66 / $700.09	Professional		$371.26	$558.66	$700.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.35 / $161.54 / $202.44	Professional	26	$107.35	$161.54	$202.44
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $263.91 / $397.12 / $497.65	Professional	TC	$263.91	$397.12	$497.65
United Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $551.58 / $858.03	Professional		$408.45	$551.58	$858.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.49 / $169.76 / $265.25	Professional	26	$128.49	$169.76	$265.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.95 / $379.38 / $592.78	Professional	TC	$279.95	$379.38	$592.78