Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $94.89 / $94.89	Facility	26	$90.38	$94.89	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.33 / $152.32 / $236.17	Professional		$139.33	$152.32	$236.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.07 / $57.43 / $92.77	Professional	TC	$49.07	$57.43	$92.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $211.52 / $339.30	Professional		$157.63	$211.52	$339.30
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $57.73 / $78.67 / $126.20	Professional	TC	$57.73	$78.67	$126.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $203.96 / $326.55	Professional		$138.51	$203.96	$326.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.23 / $80.61 / $127.13	Professional	TC	$48.23	$80.61	$127.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $229.21 / $287.24	Professional		$152.32	$229.21	$287.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $94.90 / $142.80 / $178.95	Professional	26	$94.90	$142.80	$178.95
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $57.42 / $86.41 / $108.29	Professional	TC	$57.42	$86.41	$108.29
United Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $244.25 / $381.65	Professional		$146.85	$244.25	$381.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $85.23 / $129.91	Professional	TC	$57.94	$85.23	$129.91