Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $52.78 / $72.41	Professional		$46.23	$52.78	$72.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.39 / $20.29 / $27.90	Professional	26	$17.39	$20.29	$27.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.86 / $33.54 / $44.51	Professional	TC	$27.86	$33.54	$44.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $72.18 / $148.69	Professional		$72.18	$72.18	$148.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $27.11 / $27.11 / $55.84	Professional	26	$27.11	$27.11	$55.84
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $45.07 / $45.07 / $92.84	Professional	TC	$45.07	$45.07	$92.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $37.17 / $111.00	Professional		$27.17	$37.17	$111.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.25 / $14.88 / $49.62	Professional	26	$12.25	$14.88	$49.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.92 / $22.51 / $64.37	Professional	TC	$14.92	$22.51	$64.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $114.61 / $289.67	Professional		$96.85	$114.61	$289.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $32.04 / $37.90 / $100.11	Professional	26	$32.04	$37.90	$100.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $64.81 / $76.69 / $189.59	Professional	TC	$64.81	$76.69	$189.59
United Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $67.64 / $161.27	Professional		$36.35	$67.64	$161.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.14 / $26.31 / $60.22	Professional	26	$16.14	$26.31	$60.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $29.36 / $90.99	Professional	TC	$19.89	$29.36	$90.99